ANDREW STEPHEM MICELI

HARTFORD, CT
NPI1093541013
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-09-09
Last Update Date2024-09-09
Business Address
ANDREW STEPHEM MICELI
21 GRAND ST
HARTFORD, CT 06106-1541
Phone number: 860-550-7500
Mailing Address
ANDREW STEPHEM MICELI
4 DIAMOND TER
WOLCOTT, CT 06716-2715
Phone number: 860-503-9782