Individual
MARY MATTALIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 837-6212
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 837-6212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
224476
CT
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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