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Contact Information

PAULA A LUCUARA REVELO, MD
800 CONNECTICUT BLVD
UCONN MEDICAL GROUP
EAST HARTFORD, CT06108
 Phone: 860-282-3859
 Fax: 860-282-8574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PAULA A LUCUARA REVELO · (Female)

NPI Number 1740547058
Status Active
Credentials MD
Entity Individual
Enumeration date 04/12/2012
Last updated 01/02/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 054445
  • NJ License # 25MA10527900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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