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Individual

DR. TIA MARIA ESTRELLA ACOSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226
(860) 456-6297
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-0585

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
62064
CT
2084P0800X
Psychiatry Physician
MD13143
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A98989
UPIN
Enumeration date
08/05/2006
Last updated
09/10/2019
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