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NPI 1801352133 · live from the CMS NPI Registry

Nicolas Antico, PA-C

Physician Assistant in Meriden, CT. National Provider Identifier 1801352133, active.

NPI record

NPI1801352133 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location90 Cynrose Pl, Meriden, CT 06451
Practice phone203-317-1208
EnumeratedFebruary 12, 2019
Last updatedFebruary 12, 2019
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X— (CT)

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