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Kelly A Massucci, MEDOTR/L
Specialist in Farmington, Connecticut
NPI 1013976703

Kelly A Massucci is a Specialist based in West Hartford, CT. Kelly A Massucci practices in Farmington, CT and has the professional credentials of MEDOTR/L. The NPI Number for Kelly A Massucci is 1013976703 and holds a License No. 002268 (Connecticut).

The current practice location address for Kelly A Massucci is 270 Farmington Ave, Farmington, CT and can be reached out via phone at 860-674-1824.

Location: 270 Farmington Ave, Farmington, CT, 06119-1018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013976703
Provider Name
Kelly A Massucci
Credential
MEDOTR/L
Provider Entity Type
Individual
Gender
Female
Address
270 Farmington Ave, Farmington, CT, 06119-1018
Phone Number
860-674-1824
Fax Number
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00424493500 05 CT
3623042 01 CT AETNA
institution
Provider Business Practice Location Address Details
Address
270 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032-1909
Phone Number
860-674-1824
Fax Number
person
Provider Business Mailing Address Details
Address
270 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032-1909
Phone Number
860-674-1824
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
002268 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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