Individual provider · NPI-1
Dr. Anthony Edward Acquaviva, VMD, DACVS
Veterinarian · Shelton, CT
NPI number1376944884
StatusActive
Last updated in NPPESSep 16, 2014
Details
- NPI
- 1376944884
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anthony Edward Acquaviva
- Credential
- VMD, DACVS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2014
- Last updated
- Sep 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174M00000X | Veterinarian | 3602 | CT | Yes |
Practice location
895 Bridgeport AveShelton, CT 06484-4621
Phone 203-929-8600
Mailing address
895 Bridgeport AveShelton, CT 06484-4621
Phone 203-929-8600
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