Individual
LAUREEN FORGIONE-RUBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
945 MAIN STREET, SUITE #105, MANCHESTER, CT 06040
(860) 645-1232
(860) 647-0438
Mailing address
945 MAIN STREET, SUITE #105, MANCHESTER, CT 06040
(860) 645-1232
(860) 647-0438
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
033061
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004249810
—
CT
01
—
010033061CT01
BCBS
—
Enumeration date
06/27/2006
Last updated
06/23/2021
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