Individual
DR. JOSEPH ANTONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
388 MAIN ST, MONROE, CT 06468-1150
(203) 459-0191
(203) 459-0192
Mailing address
388 MAIN ST, MONROE, CT 06468-1150
(203) 459-0191
(203) 459-0192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028415
CT
Other
Enumeration date
06/13/2005
Last updated
01/21/2010
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