Individual
TITO ANTHONY WILTSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
385 W MAIN ST, AVON, CT 06001-4357
(860) 777-1280
Mailing address
385 W MAIN ST, AVON, CT 06001-4357
(860) 777-1280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
CT
363AM0700X
Medical Physician Assistant
Primary
6050
CT
Other
Enumeration date
02/27/2023
Last updated
03/27/2023
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