Individual
DR. DONALD A AMARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 NEW LONDON TPKE, NORWICH, CT 06360-2624
(860) 886-0651
(860) 823-1577
Mailing address
130 NEW LONDON TPKE, NORWICH, CT 06360-2624
(860) 886-0651
(860) 823-1577
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
004073
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020004073CT01
BC/BS PROVIDER ID #
CT
01
—
5477144
AETNA MEDICAL PROVIDER ID
CT
Enumeration date
09/12/2005
Last updated
04/09/2008
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