Individual
THELMA V BATIANCILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
477 BOSTON POST RD STE E, ORANGE, CT 06477-3548
(475) 209-9130
(203) 298-4380
Mailing address
477 BOSTON POST RD STE E, ORANGE, CT 06477-3548
(475) 209-9130
(203) 298-4380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20036
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
20036
CT
Other
Enumeration date
09/13/2006
Last updated
09/11/2018
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