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DR. PAULA MICHELE BEVILACQUA M.D.

>> Dermatology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1790715209

Individual Registrant:
DR. PAULA MICHELE BEVILACQUA M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
677 S MAIN ST  CHESHIRE, CT 06410-3158 US
Tel: 203-250-7577  Fax: 203-250-0739

Contact information for business:
677 S MAIN ST  CHESHIRE, CT 06410-3158 US
Tel: 203-250-7577  Fax: 203-250-0739

Registration Information:
NPI: 1790715209
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207N00000XAllopathic & Osteopathic Physicians
Dermatology
CT029901

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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