Individual
DR. MARIA PASQUALINA DELLA PORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
156 FARMINGTON AVE, BRISTOL, CT 06010-4218
(860) 582-0702
(860) 314-0263
Mailing address
156 FARMINGTON AVE, BRISTOL, CT 06010-4218
(860) 582-0702
(860) 314-0263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002577
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004239788
—
CT
01
—
P00080670
MEDICARE RAILROAD
CT
Enumeration date
08/01/2006
Last updated
08/14/2023
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