LAURA CELESTE BLACK

WEST HARTFORD, CT
NPI1124388129
Former NameLAURA CELESTE DEPOULI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: RI  MD14897)
Enumeration Date2012-05-23
Last Update Date2018-05-15
Business Address
LAURA CELESTE BLACK M.D.
336 N MAIN ST
WEST HARTFORD, CT 06117
Phone number: 860-232-4891
Mailing Address
LAURA CELESTE BLACK M.D.
17 VIRGINIA AVE SUITE 107
PROVIDENCE, RI 02905-4406
Phone number: 401-443-4992
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