Healthcare Provider Details

I. General information

NPI: 1184683328
Provider Name (Legal Business Name): ANTHONY FRANCIS POSTERARO JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 04/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 E HIGH ST SUITE 203
EAST HAMPTON CT
06424-1099
US

IV. Provider business mailing address

42 E HIGH ST SUITE 203
EAST HAMPTON CT
06424-1099
US

V. Phone/Fax

Practice location:
  • Phone: 860-267-2593
  • Fax:
Mailing address:
  • Phone: 860-267-2593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number019956
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number019956
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: