Individual
MRS. DELLA M CORCORAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
970 FARMINGTON AVE, STE 201, WEST HARTFORD, CT 06107
(860) 561-4300
(860) 561-1635
Mailing address
970 FARMINGTON AVE, STE 201, WEST HARTFORD, CT 06107
(860) 561-4300
(860) 561-1635
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
035822
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010035822CT01
BCBS
—
01
—
038522
CONNECTICARE
—
Enumeration date
01/30/2006
Last updated
07/08/2007
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