Provider Demographics
NPI:1851775035
Name:PARISI, ANTHONY S D (M D)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:S D
Last Name:PARISI
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BILLOW RD
Mailing Address - Street 2:
Mailing Address - City:NIANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06357-3404
Mailing Address - Country:US
Mailing Address - Phone:860-691-0642
Mailing Address - Fax:
Practice Address - Street 1:24 BILLOW RD
Practice Address - Street 2:
Practice Address - City:NIANTIC
Practice Address - State:CT
Practice Address - Zip Code:06357-3404
Practice Address - Country:US
Practice Address - Phone:860-691-0642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT015855207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery