Individual
DR. ANTONIO PANTALEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 SUMMER ST FL 3, STAMFORD, CT 06905
(203) 359-2444
(203) 359-3169
Mailing address
945 SUMMER ST FL 3, STAMFORD, CT 06905-5557
(203) 359-2444
(203) 359-3169
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
CT42295
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001422956
—
CT
01
—
010042295CT01
BLUE CROSS & BLUE SHIELD
CT
01
—
201102818
TAX ID
CT
01
—
2V3586
HEALTH NET
CT
01
—
7725568
AETNA
CT
Enumeration date
11/09/2006
Last updated
07/13/2018
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