Corcoran, Della M

Corcoran, Della M is an individual health care provider with primary practice located at 970 Farmington Ave Ste 201, West Hartford CT 06107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Corcoran, Della M can be contacted via phone (860) 561-4300.

Contact Information

Primary practice address
970 Farmington Ave Ste 201 West Hartford CT 06107
Fax: (860) 561-1635
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 035822 Connecticut

Profile Details

NPI number 1396716353
LBN Legal business name Corcoran, Della M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396716353 NPPES
Other 010035822CT01 BCBS
Other 038522 BCBS

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