Individual
ANNE MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
969 W MAIN ST, WATERBURY, CT 06708-2653
(203) 574-2051
(203) 573-0315
Mailing address
75 BELLAMY RD, CHESHIRE, CT 06410-3038
(203) 271-1377
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
025319
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012531950100
—
CT
Enumeration date
07/27/2006
Last updated
07/08/2007
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