Healthcare Provider Details

I. General information

NPI: 1346806841
Provider Name (Legal Business Name): TERESA DA CUNHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2019
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARTFORD HOSPITAL ADULT PRIMARY CARE - BROWN STONE 79 RETREAT AVENUE
HARTFORD CT
06106
US

IV. Provider business mailing address

UCONN GRADUATE MEDICAL EDUCATION 263 FARMINGTON AVENUE LM068
FARMINGTON CT
06030-1921
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-0200
  • Fax: 860-545-3149
Mailing address:
  • Phone: 860-679-4763
  • Fax: 860-679-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME176942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: