| Ionut Anton M.d. Pc | |
|
171 Grandview Ave Suite 204 Waterbury CT 06708-2517 | |
| (203) 596-1906 | |
| (203) 596-1861 |
| Full Name | Ionut Anton M.d. Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 171 Grandview Ave, Waterbury, Connecticut |
| Authorized Official Name and Position | Ionut B Anton (MEDICAL DOCTOR) |
| Authorized Official Contact | 2035961909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ionut Anton M.d. Pc 171 Grandview Ave Suite 204 Waterbury CT 06708-2517 Ph: (203) 596-1906 | Ionut Anton M.d. Pc 171 Grandview Ave Suite 204 Waterbury CT 06708-2517 Ph: (203) 596-1906 |
| NPI Number | 1033206826 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 02/16/2010 |
| Medicare PECOS PAC ID | 6103824131 |
|---|---|
| Medicare Enrollment ID | O20061129000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033206826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 040407 (Connecticut) | Primary |
| Provider Name | Ionut B Anton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770550238 PECOS PAC ID: 8729086855 Enrollment ID: I20061127000326 |
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