Individual
IRENE CORDILICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-8080
(860) 679-1430
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-8080
(860) 679-1430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000924
CT
Other
Enumeration date
11/16/2007
Last updated
09/30/2022
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