MICHAEL CONSTANTINE ANTONELLIS

BRIDGEPORT, CT
NPI1548930936
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  6627)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-09-16
Last Update Date2024-09-18
Business Address
MICHAEL CONSTANTINE ANTONELLIS
2800 MAIN STREET DEPT OF SURGERY
BRIDGEPORT, CT 06606
Phone number: 475-210-6512
Mailing Address
MICHAEL CONSTANTINE ANTONELLIS
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109-4337
Phone number: 203-909-4171
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