Individual
DR. SIBLE ANTONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-2802
(203) 785-6664
Mailing address
333 CEDAR STREET, TMP 3, NEW HAVEN, CT 06510
(203) 785-2802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MT213339
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
60096
CT
207LP3000X
Pediatric Anesthesiology Physician
MD46157
PA
207LP3000X
Pediatric Anesthesiology Physician
MT213339
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
04/26/2018
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