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Individual

DR. IONUT B ANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
171 GRANDVIEW AVE, SUITE 204, WATERBURY, CT 06708-2517
(203) 596-1909
(203) 596-1861
Mailing address
171 GRANDVIEW AVE, SUITE 204, WATERBURY, CT 06708-2517
(203) 596-1909
(203) 596-1861

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040407
CT
208M00000X
Hospitalist Physician
040407
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001404079
CT
01
010040407CT01
ANTHEM BC/BS
CT
01
040407
CONNECTICARE
CT
01
061587189
ONE HEALTH PLAN
CT
01
110246861
RAILROAD MEDICARE
CT
01
2V2344
HEALTHNET
CT
01
3076886
AETNA
CT
01
3086658001
CIGNA
CT
Enumeration date
03/03/2006
Last updated
05/22/2013
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