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Individual

MISS REBECCA MARIE PAPPALARDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 FOREST PARK DR, FARMINGTON, CT 06032-1487
(960) 677-1112
Mailing address
36 EVERGREEN LN, SOUTHINGTON, CT 06489-2704
(860) 329-5940

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
5427
CT
363A00000X
Physician Assistant
Primary
5427
CT

Other

Enumeration date
10/14/2021
Last updated
05/04/2022
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