Individual
NINA KATHERINE ANTONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1032 POST RD E, WESTPORT, CT 06880-5369
(203) 635-0770
Mailing address
1032 POST RD E, WESTPORT, CT 06880-5369
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
67336
CT
Other
Enumeration date
04/06/2015
Last updated
01/16/2022
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