Individual
KATHRYN PASCUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1340 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2754
(860) 644-6676
(860) 648-9501
Mailing address
1340 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2754
(860) 644-6676
(860) 648-9501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
050725
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050725
CT STATE LICENSE
CT
Enumeration date
01/26/2011
Last updated
06/08/2012
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