Provider Demographics
NPI:1184683328
Name:POSTERARO, ANTHONY FRANCIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:FRANCIS
Last Name:POSTERARO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 E HIGH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:EAST HAMPTON
Mailing Address - State:CT
Mailing Address - Zip Code:06424-1099
Mailing Address - Country:US
Mailing Address - Phone:860-267-2593
Mailing Address - Fax:
Practice Address - Street 1:42 E HIGH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:EAST HAMPTON
Practice Address - State:CT
Practice Address - Zip Code:06424-1099
Practice Address - Country:US
Practice Address - Phone:860-267-2593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT019956207R00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD33502Medicare UPIN