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Individual

MRS. RESHMA S CHACKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 688-8800
Mailing address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 688-8800

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
8097
CT

Other

Enumeration date
02/13/2019
Last updated
10/08/2025
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