Healthcare Provider Details

I. General information

NPI: 1659514628
Provider Name (Legal Business Name): BARBARA ARCARESE D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2009
Last Update Date: 11/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 FOUNDERS PLZ SUITE 300
EAST HARTFORD CT
06108-3212
US

IV. Provider business mailing address

2601 FALL HILL AVE SUITE 300
FREDERICKSBURG VA
22401-3323
US

V. Phone/Fax

Practice location:
  • Phone: 860-282-4022
  • Fax: 860-282-0834
Mailing address:
  • Phone: 540-371-9696
  • Fax: 540-899-9380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number046674
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: