Individual
REBECCA ELIZABETH HOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 NYE RD, GLASTONBURY, CT 06033-1281
(860) 633-2487
Mailing address
84 COPPER MINE RD, FARMINGTON, CT 06032-2118
(617) 838-5319
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001423
CT
363AM0700X
Medical Physician Assistant
1718
MA
Other
Enumeration date
08/09/2007
Last updated
10/09/2015
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