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VANESSA BOCCACCIO STOCKFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8 CANAL CT, AVON, CT 06001-3726
(860) 674-9686
Mailing address
8 CANAL CT, AVON, CT 06001-3726
(860) 674-9686

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003119
CT
363AM0700X
Medical Physician Assistant
Primary
3119
CT

Other

Enumeration date
07/06/2014
Last updated
04/22/2019
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