Individual
DR. AVA M PANNULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ABRAHMS BLVD, WEST HARTFORD, CT 06117-3949
(860) 523-3800
(860) 523-3949
Mailing address
1 ABRAHMS BLVD, WEST HARTFORD, CT 06117-3949
(860) 523-3854
(860) 523-3828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31669
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
031669
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001316696
—
CT
01
—
010031669CT01
BC
CT
Enumeration date
11/15/2005
Last updated
06/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us