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17 Farmington Ave Bldg B2nd, Plainville, CT 06062-1700 | |
(203) 536-6274 | |
(888) 417-4305 |
Full Name | |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 17 Farmington Ave Bldg B2nd, Plainville, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629782180 | NPI | - | NPPES |
Provider Name | Gerald A Valletta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417991688 PECOS PAC ID: 2466427620 Enrollment ID: I20040831000882 |
Provider Name | Maria A Passaro-henry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144250630 PECOS PAC ID: 4688575145 Enrollment ID: I20060908000239 |
Mailing Address | Practice Location Address |
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17 Farmington Ave Bldg B2nd, Plainville, CT 06062-1700 Ph: (860) 351-5528 | 17 Farmington Ave Bldg B2nd, Plainville, CT 06062-1700 Ph: (203) 536-6274 |