Individual
DR. ANNE MARIE F VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 HAZARD AVE, UNIT B, ENFIELD, CT 06082-4575
(860) 749-3661
(860) 749-3667
Mailing address
24 WINTER WAY, ENFIELD, CT 06082-3952
(860) 749-8995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034656
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001346560
—
CT
Enumeration date
07/16/2006
Last updated
09/04/2009
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