Anne Marie Villa, M.D., P.C.
Organization Active NPI Pediatrics Physician · Enfield, CT
NPI 1760625859 · NPPES record last updated Apr 20, 2009
Key facts
- NPI
- 1760625859
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 034656 (CT)
- Legal business name
- ANNE MARIE VILLA, M.D., P.C.
- Practice address
- 150 Hazard Avenue
Unit B
Enfield, CT 06082 - Phone
- (860) 749-3661
- Fax
- (860) 749-3667
- NPI assigned
- Apr 20, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Anne Marie Villa, M.D.
- Title
- Owner
- Phone
- (860) 749-3661
National Provider Directory
Locations
150 Hazard Ave
Bldg B
Enfield, CT 06082
Phone (860) 749-3661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | 034656 | CT | Yes |
Addresses
Primary practice location
150 Hazard Avenue
Unit B
Enfield, CT 06082
Mailing address
150 Hazard Avenue
Unit B
Enfield, CT 06082
Phone (860) 749-3661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001346560 | Medicaid | CT |
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- Robert D Ames
- Brenna C Anderson
- Ryan James Anderson
- Carolyn Andrews
- Amber Antonucci
- Haley Arbour
- Alfredo A Arbulu
- Joseph B Arguello
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All providers in Enfield, CT · Pediatrics 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 Apr 20, 2009. 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.