Provider Information for 1164881736
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EVA TORRES-MALDONADO
Sex: Female
NPI: 1164881736
Last Updated: 2017-01-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1164881736 | ||||||||
| Enumeration Date | 2016-02-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 270 FARMINGTON AVE FARMINGTON, CT 06032-1909 United States Phone: 860-677-5570 | Fax:860-677-9570 | ||||||||
| Primary Practice Address | 270 FARMINGTON AVE FARMINGTON, CT 06032-1909 United States Phone: 860-677-5570 | Fax:860-677-9570 | ||||||||
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