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Individual

DR. JOHN SANTILLI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 CORPORATE DR, STE 295, SHELTON, CT 06484-6240
(203) 374-6103
(203) 374-1663
Mailing address
130 PRIMROSE LN, FAIRFIELD, CT 06825-2307
(203) 259-1055

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017262
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001172626
CT
Enumeration date
02/13/2006
Last updated
10/04/2018
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