Individual
ALANA C. REBOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
85 POHEGANUT DR, GROTON, CT 06340-3252
(860) 448-6303
Mailing address
2150 MAIN STREET, SPRINGFIELD, MA 01104
(413) 739-5676
(413) 733-5860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003299
CT
363A00000X
Physician Assistant
Primary
3299
CT
363A00000X
Physician Assistant
C00A5760
MD
363A00000X
Physician Assistant
C5760
MD
Other
Enumeration date
05/12/2015
Last updated
06/24/2024
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