Individual
DR. ANTONIA BRANCIA MAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
354 HARTFORD TPKE, HAMPTON, CT 06247-1320
(860) 455-1404
(860) 455-1396
Mailing address
354 HARTFORD TPKE, HAMPTON, CT 06247-1320
(860) 455-1404
(860) 455-1396
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
57
CT
Other
Enumeration date
01/19/2007
Last updated
07/09/2007
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