Individual
LORETTA JOHNSON PILAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
375 E CENTER ST, MANCHESTER, CT 06040-4445
(860) 646-0166
(860) 645-7534
Mailing address
PO BOX 3249, VERNON, CT 06066-2149
(860) 872-2289
(860) 896-1425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
032428
CT
207Q00000X
Family Medicine Physician
Primary
2014-02093
NC
Other
Enumeration date
03/08/2006
Last updated
01/04/2017
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