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Dr. John Santilli, MD
Specialist in Shelton, Connecticut
NPI 1811961469

John Santilli is a Specialist based in Fairfield, CT. John Santilli practices in Shelton, CT and has the professional credentials of MD. The NPI Number for John Santilli is 1811961469 and holds a License No. 017262 (Connecticut).

The current practice location address for John Santilli is 4 Corporate Dr, Shelton, CT and can be reached out via phone at 203-374-6103 and via fax at 203-374-1663.

Location: 4 Corporate Dr, Shelton, CT, 06825-2307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811961469
Provider Name
John Santilli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4 Corporate Dr, Shelton, CT, 06825-2307
Phone Number
203-374-6103
Fax Number
203-374-1663
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001172626 05 CT
institution
Provider Business Practice Location Address Details
Address
4 Corporate Dr
City
Shelton
State
Connecticut
Zip
06484-6240
Phone Number
203-374-6103
Fax Number
203-374-1663
person
Provider Business Mailing Address Details
Address
4 Corporate Dr
City
Shelton
State
Connecticut
Zip
06484-6240
Phone Number
203-374-6103
Fax Number
203-374-1663
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
017262 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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