Individual
CHRISTOPHER J PANEBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
48 SOUTH ST, CROMWELL, CT 06416-2265
(203) 464-6469
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10249
CT
Other
Enumeration date
10/24/2021
Last updated
11/30/2021
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