Organization
IRA SPAR, MDPC
Active
Organization
IRA SPAR, MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBBY A FUSCHILLO (OFFICE MANAGER)
(860) 628-8789
Entity
Organization
Contact information
Practice address
620 MAIN ST, PLANTSVILLE, CT 06479-1538
(860) 628-8789
Mailing address
620 MAIN ST, PLANTSVILLE, CT 06479-1538
(860) 628-8789
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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