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NPI 1356784268 · live from the CMS NPI Registry

Sible Antony, M.D.

Anesthesiology, Pediatric Anesthesiology in New Haven, CT. National Provider Identifier 1356784268, active.

NPI record

NPI1356784268 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology, Pediatric Anesthesiology 207LP3000X
Practice location20 York St, New Haven, CT 06510
Practice phone203-785-2802
Mailing address333 Cedar Street, Tmp 3, New Haven, CT 06510
EnumeratedApril 10, 2013
Last updatedApril 26, 2018
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology207L00000XMT213339 (PA)
Anesthesiology, Pediatric Anesthesiology207LP3000XMD46157 (PA)
Anesthesiology, Pediatric Anesthesiology207LP3000XMT213339 (PA)
Student in an Organized Health Care Education/Training Program390200000X—
Anesthesiology, Pediatric Anesthesiology primary207LP3000X60096 (CT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.