Individual
MARIANN PAPPAGALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3105
(860) 679-1403
Mailing address
65 KANE ST, WEST HARTFORD, CT 06119-2110
(860) 523-6421
(860) 523-3701
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
031855
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1318551
—
CT
Enumeration date
06/30/2005
Last updated
02/11/2010
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