Individual
BIANCA THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 ASYLUM AVE RM 1004, HARTFORD, CT 06105-1701
(860) 714-4532
(860) 714-8275
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-1921
(860) 679-2147
(860) 679-4624
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/08/2023
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