Most Relevant Information
Provider Data
| NPI Number: | 1003498957 |
| Provider Name: | MOLLY MCNALLY DEAKIN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/21/2021 |
| Last Updated: | 04/21/2021 |
Provider Practice Location
555 WILLARD AVE
NEWINGTON
CT
061112631
Practice Location Phone/Fax
| Phone: | 8668087921 |
| Fax: | 8606676875 |
Provider Mailing Location
263 FARMINGTON AVE
FARMINGTON
CT
060302631
Provider Mailing Phone/Fax
| Phone: | 8606792147 |
| Fax: | 8606794624 |