Individual
MADISON ALAIA FUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 DURHAM RD, MADISON, CT 06443-1858
(203) 421-3600
Mailing address
688 GOOSE LN, GUILFORD, CT 06437-2111
(203) 980-4099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12036
CT
Other
Enumeration date
06/15/2023
Last updated
07/07/2023
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