Healthcare Provider Details

I. General information

NPI: 1801088026
Provider Name (Legal Business Name): CHRISTINA ANN BIELLO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2007
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR STREEET
HARTFORD CT
06141-0540
US

IV. Provider business mailing address

99 EAST RIVER DRIVE 5TH FLOOR
EAST HARTFORD CT
06141-0540
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-2117
  • Fax: 860-545-1784
Mailing address:
  • Phone: 860-282-0833
  • Fax: 860-282-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number047192
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number047192
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: