Individual
ANTHONY BENAQUISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 COVENTRY ST, HARTFORD, CT 06112-1548
(860) 714-2813
(860) 714-8541
Mailing address
131 COVENTRY ST, HARTFORD, CT 06112-1548
(860) 714-2813
(860) 714-8541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
062447
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
05/02/2019
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