| Organization Name: | IONUT ANTON M.D. PC |
| NPI Number: | 1033206826 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IONUT B ANTON (MEDICAL DOCTOR) |
| Mailing Address: | 171 Grandview Ave Suite 204 Waterbury |
| State: | CT US |
| Postal Code: | 067082517 |
| Phone Number: | 2035961906 |
| Fax Number: | 2035961861 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 02/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 040407 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |