Individual
LAURA BUJOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080
Mailing address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15191538
CT
207Q00000X
Family Medicine Physician
OS017729
PA
Other
Enumeration date
06/29/2011
Last updated
07/07/2021
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