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DR. ANTHONY EDWARD ACQUAVIVA VMD, DACVS

>> Veterinarian >> Other Service Providers

Registrant NPI Number: 1376944884

Individual Registrant:
DR. ANTHONY EDWARD ACQUAVIVA VMD, DACVS
Gender: M
Sole Proprietor

Location and contact information for practice:
895 BRIDGEPORT AVE  SHELTON, CT 06484-4621 US
Tel: 203-929-8600  Fax: --

Contact information for business:
895 BRIDGEPORT AVE  SHELTON, CT 06484-4621 US
Tel: 203-929-8600  Fax: --

Registration Information:
NPI: 1376944884
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174M00000XOther Service Providers
Veterinarian
CT3602

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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