Active NPIIndividual providerSole proprietor

Dr. Paula M Bevilacqua, MD

Dermatology in Cheshire, Connecticut

NPI Number1790715209
Practice location
677 S Main St, Cheshire, CT 06410-3158
Fax
203-250-0739
Last updated
July 25, 2007

Paula Michele Bevilacqua is a Dermatology based in Cheshire, CT. Paula Michele Bevilacqua practices in Cheshire, CT and has the professional credentials of MD. The NPI Number for Paula Michele Bevilacqua is 1790715209 and holds a License No. 029901 (CT). The current practice location address for Paula Michele Bevilacqua is 677 S Main St, Cheshire, CT 06410-3158 and can be reached out via phone at 203-250-7577 and via fax at 203-250-0739.

Provider Profile Details

NPI Number
1790715209
Provider Name
Paula Michele Bevilacqua
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
677 S Main St, Cheshire, CT 06410-3158
Phone Number
203-250-7577
Fax Number
203-250-0739
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2006
Last Update Date
July 25, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
677 S Main St
Cheshire, CT 06410-3158
Zip
06410-3158
Phone Number
203-250-7577
Fax Number
203-250-0739
Cheshire, CT 06410Get directions →

Provider Business Mailing Address Details

Address
677 S Main St
Cheshire, CT 06410-3158
City
Cheshire
State
CT
Zip
06410-3158
Phone Number
203-250-7577
Fax Number
203-250-0739

License Information

License Number
029901
License State
CT
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Paula M Bevilacqua, MD?

The NPI number of Dr. Paula M Bevilacqua, MD is 1790715209. It was assigned on July 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Paula M Bevilacqua, MD?

Dr. Paula M Bevilacqua, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 029901.

Where does Dr. Paula M Bevilacqua, MD practice?

The practice location is 677 S Main St, Cheshire, CT 06410-3158. The office can be reached at 203-250-7577 (phone) or 203-250-0739 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790715209 directly on the NPPES registry website.

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