Individual
DR. PAULA MICHELE BEVILACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
677 S MAIN ST, CHESHIRE, CT 06410-3158
(203) 250-7577
(203) 250-0739
Mailing address
677 S MAIN ST, CHESHIRE, CT 06410-3158
(203) 250-7577
(203) 250-0739
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
029901
CT
Other
Enumeration date
07/03/2006
Last updated
07/25/2007
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