Most Relevant Information
Provider Data
| NPI Number: | 1003491648 |
| Provider Name: | CHARLA ANDREA APOLONIO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 13083 |
Most Important Dates
| Enumeration Date: | 03/16/2021 |
| Last Updated: | 05/27/2021 |
Provider Practice Location
263 FARMINGTON AVE
FARMINGTON
CT
060300001
Practice Location Phone/Fax
| Phone: | 8606792000 |
| Fax: |
Provider Mailing Location
263 FARMINGTON AVE
FARMINGTON
CT
060300001
Provider Mailing Phone/Fax
| Phone: | 8443882666 |
| Fax: |