Individual
JONICA PAGNUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
64 ROBBINS ST, 6TH FLOOR, WATERBURY, CT 06708-2613
(203) 573-6263
(203) 573-6030
Mailing address
455 LEWIS AVE, STE 221, MERIDEN, CT 06451-2121
(203) 573-9512
(203) 568-2904
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001913
CT
Other
Enumeration date
06/27/2007
Last updated
05/24/2019
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