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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

Details

NameValue
NPI1942761374
Enumeration Date2019-03-28
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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
NEW BRITAIN, CT 06052-2016
United States

Phone: 860-224-5261 | Fax:860-224-5957
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 390200000X - Student in an Organized Health Care Education/Training Program
Yes 207RN0300X - Internal Medicine - NephrologyCT079867