NPI 1790715209 · live from the CMS NPI Registry
Paula Michele Bevilacqua, M.D.
Dermatology in Cheshire, CT. National Provider Identifier 1790715209, active.
NPI record
| NPI | 1790715209 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 677 S Main St, Cheshire, CT 06410 |
| Practice phone | 203-250-7577 |
| Enumerated | July 3, 2006 |
| Last updated | July 25, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 029901 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.