Provider Information for 1477856078
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Ms. KIMBERLY ANN SANTORA Ph.D.
Sex: Female
NPI: 1477856078
Last Updated: 2024-09-23
Certification Date: 2024-09-23
Certification Date: 2024-09-23
Details
Name | Value | ||||||||||||||||
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NPI | 1477856078 | ||||||||||||||||
Enumeration Date | 2010-12-21 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 263 FARMINGTON AVENUE FARMINGTON, CT 06030-1104 United States Phone: 860-679-6700 | Fax:860-679-6736 | ||||||||||||||||
Primary Practice Address | 10 TALCOTT NOTCH FARMINGTON, CT 06032 United States Phone: 860-679-6700 | Fax:860-679-6736 | ||||||||||||||||
Secondary Practice Address(es) | 263 FARMINGTON AVENUE 190 LENOX ST | ||||||||||||||||
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