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Individual

DR. ANTHONY CHIEFFALO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
168 RTE. 171, S WOODSTOCK, CT 06267-0366
(860) 928-7775
(860) 928-1397
Mailing address
PO BOX 366, S WOODSTOCK, CT 06267-0366
(860) 928-7775
(860) 928-1397

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028895
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0100288952CT01
ANTHEM BCBS
CT
05
1288952
CT
01
50031
HELTHNET
DE
Enumeration date
08/01/2006
Last updated
03/14/2011
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