JOHN ANTONUCCI NPI 1508967951

NPI Information

NPI: 1508967951
Provider Name: JOHN ANTONUCCI
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
555 WILLARD AVE
NEWINGTON, CT
ZIP 06111
Phone: (860) 677-6747
Get Directions

John Antonucci is an addiction medicine psychiatry neurology in Newington, CT. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine John Antonucci NPI is 1508967951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

555 WILLARD AVE
NEWINGTON, CT
ZIP 06111-631
Phone: (860) 677-6747

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	09502	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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