Organization
JOSEPH T ANQUILLARE, MD, LLC
Active
Other names
Geriatric Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH T ANQUILLARE SR. M.D. (PHYSICIAN OWNER)
(860) 306-9733
Entity
Organization
Contact information
Practice address
28 FIELDSTONE PATH, NEWINGTON, CT 06111-4631
(860) 306-9734
(860) 667-0695
Mailing address
28 FIELDSTONE PATH, NEWINGTON, CT 06111-4631
(860) 306-9734
(860) 667-0695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
09/17/2006
Last updated
03/04/2013
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