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Individual

MICHELLE F REARDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1039 E MAIN ST, STAMFORD, CT 06902-4108
(203) 327-2722
(203) 975-4539
Mailing address
345 WHITNEY AVE, NEW HAVEN, CT 06511
(203) 752-2856
(203) 752-8785

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
063729
CT

Other

Enumeration date
06/30/2006
Last updated
02/07/2008
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