Active NPIIndividual provider

Dr. Anica Antic, MD

Pathology, Anatomic Pathology & Clinical Pathology in New London, Connecticut

NPI Number1457678641
Practice location
365 Montauk Ave, New London, CT 06320-4700
Fax
860-444-3709
Last updated
October 24, 2014

Anica Antic is a Pathology, Anatomic Pathology & Clinical Pathology based in New London, CT. Anica Antic practices in New London, CT and has the professional credentials of MD. The NPI Number for Anica Antic is 1457678641 and holds a License No. 049493 (CT). The current practice location address for Anica Antic is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-444-5100 and via fax at 860-444-3709.

Provider Profile Details

NPI Number
1457678641
Provider Name
Anica Antic
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
365 Montauk Ave, New London, CT 06320-4700
Phone Number
860-444-5100
Fax Number
860-444-3709
Sole Proprietor
No
Other Names
-- Anica Nikolic, MD (Former Name)
Provider Enumeration Date
April 27, 2010
Last Update Date
October 24, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave
New London, CT 06320-4700
Zip
06320-4700
Phone Number
860-444-5100
Fax Number
860-444-3709
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
Po Box 902
New Haven, CT 06504-0902
City
New Haven
State
CT
Zip
06504-0902
Phone Number
203-397-8000
Fax Number
203-389-1540

License Information

License Number
049493
License State
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Anica Antic, MD?

The NPI number of Dr. Anica Antic, MD is 1457678641. It was assigned on April 27, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Anica Antic, MD?

Dr. Anica Antic, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CT under license number 049493.

Where does Dr. Anica Antic, MD practice?

The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-444-5100 (phone) or 860-444-3709 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457678641 directly on the NPPES registry website.

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