John Antonucci
Psychiatry & Neurology, Addiction Medicine in Newington, Connecticut
1508967951- Practice location
- 555 Willard Ave, Newington, CT 06111-2631
- Phone
- 860-677-6747
- Fax
- —
- Last updated
- July 8, 2007
John Antonucci is a Psychiatry & Neurology, Addiction Medicine based in Newington, CT. John Antonucci practices in Newington, CT. The NPI Number for John Antonucci is 1508967951 and holds a License No. 09502 (CT). The current practice location address for John Antonucci is 555 Willard Ave, Newington, CT 06111-2631 and can be reached out via phone at 860-677-6747.
Provider Profile Details
- NPI Number
- 1508967951
- Provider Name
- John Antonucci
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 555 Willard Ave, Newington, CT 06111-2631
- Phone Number
- 860-677-6747
- Primary Taxonomy
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 26, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 555 Willard Ave
Newington, CT 06111-2631 - City
- Newington
- State
- Connecticut
- Zip
- 06111-2631
- Phone Number
- 860-677-6747
Provider Business Mailing Address Details
- Address
- 11 Woodchuck Hill RD
Canton, CT 06019-2132 - City
- Canton
- State
- CT
- Zip
- 06019-2132
License Information
- License Number
- 09502
- License State
- CT
- Taxonomy
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 John Antonucci?
The NPI number of John Antonucci is 1508967951. It was assigned on September 26, 2006 and is currently active in the NPPES registry.
What is the specialty of John Antonucci?
John Antonucci is registered under the primary taxonomy Psychiatry & Neurology, Addiction Medicine (code 2084A0401X), licensed in CT under license number 09502.
Where does John Antonucci practice?
The practice location is 555 Willard Ave, Newington, CT 06111-2631. The office can be reached at 860-677-6747 (phone).
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 1508967951 directly on the NPPES registry website.