Individual
ESTEFANIA D. RIVERA MUDAFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8085
(860) 679-2792
(860) 679-1494
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8085
(860) 679-2792
(860) 679-1494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
078290
CT
207V00000X
Obstetrics & Gynecology Physician
1164909925
MA
Other
Enumeration date
07/25/2018
Last updated
07/24/2024
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