Individual
JAIME J ANTUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
6036
CT
363AS0400X
Surgical Physician Assistant
Primary
3370
CT
Other
Enumeration date
07/01/2015
Last updated
10/09/2024
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