Provider Information for 1942761374
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BARBARA GARAY NONTOL
Sex: Female
NPI: 1942761374
Last Updated: 2025-01-13
Certification Date: 2025-01-13
Certification Date: 2025-01-13
Details
Name | Value | ||||||||||||
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NPI | 1942761374 | ||||||||||||
Enumeration Date | 2019-03-28 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-8082 United States Phone: 860-679-2147 | Fax:860-679-4624 | ||||||||||||
Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-3835 United States Phone: 860-679-5092 | Fax:860-679-1276 | ||||||||||||
Secondary Practice Address(es) | 100 GRAND ST | ||||||||||||
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