Individual
PAULA ANDREA LUCUARA REVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 CONNECTICUT BLVD, UCONN MEDICAL GROUP, EAST HARTFORD, CT 06108
(860) 282-3859
(860) 282-8574
Mailing address
800 CONNECTICUT BLVD, UCONN MEDICAL GROUP, EAST HARTFORD, CT 06108
(860) 282-3859
(860) 282-8574
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
054445
CT
208000000X
Pediatrics Physician
Primary
25MA10527900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2012
Last updated
01/02/2025
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