Provider Demographics
NPI:1245430420
Name:ANA MARIA APOLTAN MD PC
Entity Type:Organization
Organization Name:ANA MARIA APOLTAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:APOLTAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-699-8880
Mailing Address - Street 1:1157 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1600
Mailing Address - Country:US
Mailing Address - Phone:203-699-8880
Mailing Address - Fax:203-699-8818
Practice Address - Street 1:1157 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1600
Practice Address - Country:US
Practice Address - Phone:203-699-8880
Practice Address - Fax:203-699-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042691207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty