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Individual

PATRICK ANTONINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 GULF ST, MILFORD, CT 06460-4811
(585) 754-7617
Mailing address
50 GULF ST, MILFORD, CT 06460-4811
(585) 754-7617

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
90060
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
90060
CT

Other

Enumeration date
04/29/2024
Last updated
02/05/2025
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