Healthcare Provider Details

I. General information

NPI: 1730790858
Provider Name (Legal Business Name): ANTERO URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 NOTT HWY UNIT 5
ASHFORD CT
06278-1341
US

IV. Provider business mailing address

39 NOTT HWY UNIT 5
ASHFORD CT
06278-1341
US

V. Phone/Fax

Practice location:
  • Phone: 860-477-0523
  • Fax: 860-477-0595
Mailing address:
  • Phone: 860-477-0523
  • Fax: 860-477-0595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLES D BIZILJ
Title or Position: OWNER
Credential:
Phone: 860-477-1267