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Organization

ANTHONY J. VALLONE, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY JOSEPH VALLONE M.D. (PRESIDENT)
(203) 372-4325
Entity
Organization

Contact information

Practice address
4718 MAIN ST, BRIDGEPORT, CT 06606-1823
(203) 372-4325
(203) 374-7836
Mailing address
4718 MAIN ST, BRIDGEPORT, CT 06606-1823
(203) 372-4325
(203) 374-7836

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
012935
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1129352
CT
Enumeration date
05/17/2010
Last updated
05/17/2010
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