Nicholas Bruce Formica MD

NPI 1013927722 - Internal Medicine - 207RR0500X

NPI Details
NPI 1013927722
Gender Male
Enumeration Date 08/08/2006
Last Updated 07/19/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
240 EAST ST
PLAINVILLE CT, 06062-2935, US
Phone (860) 793-1151
Fax (860) 793-1519
Business Location
240 EAST ST
PLAINVILLE CT, 06062-2935, US
Phone (860) 793-1151
Fax (860) 793-1519
Toxanomy
Taxonomy Code 207RR0500X
License State Connecticut
License Number 027799
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According to our database, Dr. Nicholas Bruce Formica MD NPI is 1013927722, taxonomy code is 207RR0500X and license number is 027799, license state is located at Connecticut. Nicholas Bruce Formica MD physically located at 240 East St, Plainville CT, 06062-2935. NPI Number Nicholas Bruce Formica MD has the Individual type.

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1013927722 NPI number is provided on an as is basis without warranty of any kind. 1013927722 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Bruce Formica MD are for informational purposes only.