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CHRISTINE BRICCETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(301) 372-1323
(860) 545-9301
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
041365
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001413658
CT
Enumeration date
02/06/2006
Last updated
10/29/2012
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