Individual
MR. NICOLAS ANTICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
90 CYNROSE PL, MERIDEN, CT 06451-2772
(203) 317-1208
Mailing address
90 CYNROSE PL, MERIDEN, CT 06451-2772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CT
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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