Individual
DR. STEPHANIE MARIE HALLISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 972-2780
(860) 972-1377
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1921
(860) 972-2780
(860) 972-1377
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
08/27/2019
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