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Individual

DR. ANTHONY ROSELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
54 W AVON RD, SUITE 101, AVON, CT 06001-3680
(860) 673-4534
(860) 675-8798
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0253
(860) 263-0262

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017876
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001178763
CT
01
010017876CT01
ANTHEM
CT
01
050160
CONNECTICARE
CT
01
0S0201
HEATLH NET
CT
01
100906
AETNA
CT
01
HAP009
OXFORD
CT
Enumeration date
08/14/2006
Last updated
06/21/2021
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