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1164107421
MADISON ALAIA FUCCI
MADISON, CT
NPI
1164107421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 12036)
Enumeration Date
2023-06-15
Last Update Date
2023-07-07
Business Address
MADISON ALAIA FUCCI
1110 DURHAM RD
MADISON, CT 06443-1858
Phone number: 203-421-3600
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Mailing Address
MADISON ALAIA FUCCI
688 GOOSE LN
GUILFORD, CT 06437-2111
Phone number: 203-980-4099
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