Individual
DR. ALICIA T CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 COMMERCIAL BLVD, TORRINGTON, CT 06790-3098
(860) 482-8561
Mailing address
801 FARMINGTON AVE, WEST HARTFORD, CT 06119-1600
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
015001
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015001
STATE OF CT - DPH LICENSE
CT
Enumeration date
02/06/2007
Last updated
07/08/2007
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