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Nicole Fodaski

NPI 1801370978 · on the registry since 2018 · sole proprietor

Practice

Address
1428 Millbrook Rd
Middletown, CT 06457
Phone
(860) 803-9678

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut