Roselli, Anthony

Roselli, Anthony is an sole proprietor health care provider with primary practice located at 54 W Avon Rd Suite 101, Avon CT 06001-3680. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roselli, Anthony can be contacted via phone (860) 673-4534.

Contact Information

Primary practice address
54 W Avon Rd Suite 101 Avon CT 06001-3680
Phone: (860) 673-4534
Fax: (860) 675-8798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 017876 Connecticut

Profile Details

NPI number 1518970425
LBN Legal business name Roselli, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Jun 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518970425 NPPES
Connecticut Other 050160 CONNECTICARE
Connecticut Other 100906 CONNECTICARE
Connecticut MEDICAID 001178763 CONNECTICARE
Connecticut Other 010017876CT01 CONNECTICARE
Connecticut Other HAP009 CONNECTICARE
Connecticut Other 0S0201 CONNECTICARE

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