-- JOHN ANTONUCCI --
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Addiction Medicine
Provider Information
- NPI Number
1508967951- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 555 WILLARD AVE, NEWINGTON, CT, 061112631
- Phone
- (860) 677-6747
Specialties & Taxonomies
Psychiatry & Neurology, Addiction Medicine
Primary License: CT #09502
All Addresses
MAILING
11 WOODCHUCK HILL RD
CANTON, CT, 060192132