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Individual

DEBORAH ASHTON MOLLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,APRN

Contact information

Practice address
1781 HIGHLAND AVE, SUITE 102, CHESHIRE, CT 06410-1254
(203) 272-1990
(203) 271-0668
Mailing address
1781 HIGHLAND AVE, SUITE 102, CHESHIRE, CT 06410-1254
(203) 272-1990
(203) 271-0668

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
000024
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000024
CONNECTICARE
CT
01
2V2619
HEALTHNET
CT
01
400000024CT01
BLUE SHIELD
CT
Enumeration date
11/20/2006
Last updated
07/14/2008
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