Provider Demographics
NPI:1518151596
Name:VIOLANO, CARL ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:ANTHONY
Last Name:VIOLANO
Suffix:
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 1:385 CHURCH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-6003
Mailing Address - Country:US
Mailing Address - Phone:203-453-0361
Mailing Address - Fax:
Practice Address - Street 1:385 CHURCH ST STE 101
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-6003
Practice Address - Country:US
Practice Address - Phone:203-453-0361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00243105207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine