Individual
BARBARA KURAITIS PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6004
(203) 709-3700
Mailing address
PO BOX 2699, DEPT. 200, HARTFORD, CT 06146-2699
(866) 898-7138
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000465
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400009238
MEDICARE PTAN FOR JOHN DEMPSEY HOSPITAL
CT
Enumeration date
07/20/2006
Last updated
01/13/2023
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