Individual
GIANCARLO AGNELLO SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 ASYLUM AVE STE 3200, HARTFORD, CT 06105-1702
(860) 714-5782
Mailing address
8 GREAT OAK CT, DURHAM, NC 27713-8906
(410) 419-4540
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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