Provider Demographics
NPI:1912010158
Name:PALHETE, ANA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:M
Last Name:PALHETE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4699 MAIN ST
Mailing Address - Street 2:STE 102
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606
Mailing Address - Country:US
Mailing Address - Phone:203-334-2000
Mailing Address - Fax:203-334-2005
Practice Address - Street 1:4699 MAIN ST
Practice Address - Street 2:STE 102
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-1830
Practice Address - Country:US
Practice Address - Phone:203-334-2000
Practice Address - Fax:203-334-2005
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT044625207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine