Anthony Edward Acquaviva, VMD, DACVS
Individual provider Active NPI Veterinarian · Shelton, CT
NPI 1376944884 · NPPES record last updated Sep 16, 2014
Key facts
- NPI
- 1376944884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Veterinarian 174M00000X
- License
- 3602 (CT)
- Practice address
- 895 Bridgeport Ave
Shelton, CT 06484-4621 - Phone
- (203) 929-8600
- NPI assigned
- Sep 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 3602 | CT | Yes |
Addresses
Primary practice location
895 Bridgeport Ave
Shelton, CT 06484-4621
Mailing address
895 Bridgeport Ave
Shelton, CT 06484-4621
Phone (203) 929-8600
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.