Individual
ANTHONY D CONGIUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
159 SACHEM ST, NORWICH, CT 06360-4144
(860) 885-0444
(860) 885-0816
Mailing address
630 PIERCE ST, PHILADELPHIA, PA 19148-1720
(917) 359-6088
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13740
CT
208600000X
Surgery Physician
75128
CT
Other
Enumeration date
07/01/2016
Last updated
05/16/2025
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