Individual
BEATA TERESA KUBACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
34 SKUNK MISERY RD, HIGGANUM, CT 06441-4435
(860) 209-6086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7192
CT
Other
Enumeration date
08/23/2017
Last updated
03/17/2018
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