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DR. ANICA ANTIC M.D.

Anatomic Pathology & Clinical Pathology >> Pathology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1457678641

Individual Registrant:
DR. ANICA  ANTIC M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
365 MONTAUK AVE  NEW LONDON, CT 06320-4700 US
Tel: 860-444-5100  Fax: 860-444-3709

Contact information for business:
PO BOX 902  NEW HAVEN, CT 06504-0902 US
Tel: 203-397-8000  Fax: 203-389-1540

Registration Information:
NPI: 1457678641
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ZP0102XAllopathic & Osteopathic Physicians
Pathology
Anatomic Pathology & Clinical Pathology
CT049493

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
008031615CT05




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