Joseph P Antoci, M. D.
Individual provider Active NPI Urology Physician · Middlebury, CT
NPI 1720042971 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720042971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 021442 (CT)
- Practice address
- 1579 Straits Tpke
Suite 2a
Middlebury, CT 06762-1835 - Phone
- (203) 757-8361
- Fax
- (206) 754-9126
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021442 | CT | MD | Urology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 021442 | CT | Yes |
Addresses
Primary practice location
1579 Straits Tpke
Suite 2a
Middlebury, CT 06762-1835
Mailing address
1579 Straits Tpke
Suite 2a
Middlebury, CT 06762-1835
Phone (203) 757-8361
Other providers in Middlebury, CT
- Alliance Medical Group, Inc
- Taylor Alves
- Anchor Clinical Solutions, LLC
- Janet Lynn Anderson-Ray
- Michelle L Andrews
- George V Antonopoulos
- Kristin Anne Antonucci
- Matthew T Ariyavatkul
- Matthew Arnone
- Amy K Arruda
All providers in Middlebury, CT · Urology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.