Danil Anisimov

NPI 1114150984 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1114150984
Gender Male
Enumeration Date 08/27/2009
Last Updated 08/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
20 RESEARCH PKWY
OLD SAYBROOK CT, 06475-4214, US
Phone (800) 370-3651
Fax (860) 510-0020
Business Location
31 RICHARDS GROVE RD
QUAKER HILL CT, 06375-1524, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Connecticut
License Number 4165
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According to our database, Danil Anisimov NPI is 1114150984, taxonomy code is 363LF0000X and license number is 4165, license state is located at Connecticut. Danil Anisimov physically located at 20 Research Pkwy, Old Saybrook CT, 06475-4214. NPI Number Danil Anisimov has the Individual type.

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1114150984 NPI number is provided on an as is basis without warranty of any kind. 1114150984 is maintained by the National Plan & Provider Enumeration System. The contents of Danil Anisimov are for informational purposes only.