Individual
JOHN S URBANETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 MONTAUK AVENUE, NEW LONDON, CT 06320
(860) 444-2223
(860) 440-3153
Mailing address
155 MONTAUK AVENUE, NEW LONDON, CT 06320
(860) 444-2223
(860) 440-3153
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
022011
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1220110
—
CT
Enumeration date
09/07/2006
Last updated
07/08/2007
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