Dr NICOLAS ANTICO is a male medical professional, specializing in Physician Assistant. He graduated in 2018.
LAWRENCE AND MEMORIAL HOSPITAL, INC.
365 MONTAUK AVE
NEW LONDON
CT
063204700
Tel: 8604420711
| Npi | 1801352133 |
| Pac Id | 4981945896 |
| Professional Enrollment Id | I20190402002314 |
| Last Name | ANTICO |
| First Name | NICOLAS |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LAWRENCE AND MEMORIAL HOSPITAL, INC. |
| Group Practice Pac Id | 5991792053 |
| Number Of Group Practice Members | 40 |
| Line 1 Street Address | 365 MONTAUK AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NEW LONDON |
| State | CT |
| Zip Code | 063204700 |
| Phone Number | 8604420711 |
| Hospital Affiliation Ccn 1 | 070007 |
| Hospital Affiliation Lbn 1 | LAWRENCE & MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
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