Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000218 | CT |
NPI | 1093853665 |
---|---|
Provider Name | Dr. Debra Mcnamara Anastasio |
First Address | Cheshire, CT 06410-2560 |
Second Address | Cheshire, CT 06410-2560 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2007 |
Last Update Date | 08/07/2007 |