Individual provider · Type 1 NPI
Michele Antonucci
Medical Art Specialist/Technologist · Orange, CT
NPI number
1083558951
Active
Practice location
370 Boston Post Rd Ste 1
Orange, CT 06477-3534
Mailing address
362 Fairlea Rd
Orange, CT 06477-3411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Art Specialist/Technologist Primary | 246ZA2600X | 980 (CT) |
Medical Art Specialist/Technologist: None
Another provider at this address
About NPI 1083558951
Michele Antonucci's National Provider Identifier is 1083558951, issued on Apr 20, 2026. The primary taxonomy on file is Medical Art Specialist/Technologist (246ZA2600X), and the practice location is in Orange, CT. The record was last updated on Apr 20, 2026.