Individual
ANGELA M PETRONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 WESTERN BLVD, STE A, GLASTONBURY, CT 06033-4305
(860) 657-1920
(860) 657-1925
Mailing address
2139 SILAS DEANE HWY, ROCKY HILL, CT 06067-2336
(860) 257-4131
(860) 257-4519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031698
CT
208D00000X
General Practice Physician
031698
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001316985
—
CT
Enumeration date
08/23/2006
Last updated
06/21/2013
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