Most Relevant Information
Provider Data
| NPI Number: | 1003574773 |
| Provider Name: | HEATHER HALL MAZZAFERRO L.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 156FC0801X |
| Specialty: | Technician/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/30/2021 |
| Last Updated: | 11/30/2021 |
Provider Practice Location
333 KENNEDY DR STE L202
TORRINGTON
CT
067907201
Practice Location Phone/Fax
| Phone: | 8604829399 |
| Fax: | 8604820477 |
Provider Mailing Location
59 COOK ST APT 7
WINSTED
CT
060981439
Provider Mailing Phone/Fax
| Phone: | 8604596202 |
| Fax: |