Organization
ANNE MARIE VILLA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE MARIE VILLA M.D. (OWNER)
(860) 749-3661
Entity
Organization
Contact information
Practice address
150 HAZARD AVENUE, UNIT B, ENFIELD, CT 06082
(860) 749-3661
(860) 749-3667
Mailing address
150 HAZARD AVENUE, UNIT B, ENFIELD, CT 06082
(860) 749-3661
(860) 749-3667
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034656
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001346560
—
CT
Enumeration date
04/20/2009
Last updated
04/20/2009
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