Individual
MICHELLE BOCCANFUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6400
Mailing address
6 BIRCHWOOD LN, MONROE, CT 06468-1025
(203) 515-7721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
150990
CT
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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