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NPI Code Detail

MEDICARE: DR. KENNETH ABRIOLA MD

MEDICARE:  DR. KENNETH  ABRIOLA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician031112CT
2207R00000XInternal Medicine Physician031112CT

General Provider Information

NPI Number : 1083693022
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH ABRIOLA MD
Provider Business Mailing Address
First Line : 300 HEBRON AVE
Second Line : SUITE 113
City : GLASTONBURY
State : CT
Zip : 06033-2176
Country : US
Telephone Number : 860-657-0764
Fax Number :
Provider Business Practice Location Address
First Line : 300 HEBRON AVE STE 113
Second Line :
City : GLASTONBURY
State : CT
Zip : 06033-2176
Country : US
Telephone Number : 860-657-0764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 04/25/2024

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Directions to “ DR. KENNETH ABRIOLA MD” Practice Location

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