Individual
MARIA DIANA AVELLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
388 WEST CENTER ST, MANCHESTER, CT 06040
(860) 649-1120
(860) 645-8541
Mailing address
388 WEST CENTER ST, MANCHESTER OB-GYN ASSOC, MANCHESTER, CT 06040
(860) 649-1120
(860) 645-8541
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000318
CT
367A00000X
Advanced Practice Midwife
RN2260816
MA
Other
Enumeration date
07/21/2009
Last updated
09/22/2009
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