Organization
ANTERO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D BIZILJ M.D. (PRESIDENT)
(860) 335-0588
Entity
Organization
Contact information
Practice address
99 E RIVER DR, EAST HARTFORD, CT 06108-3288
(860) 726-7439
Mailing address
99 E RIVER DR, EAST HARTFORD, CT 06108-3288
(860) 726-7439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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