NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1568781086 | FAGAN | SUSAN |   |   | 22 MASONIC AVENUE | WALLINGFORD | CT | 06492 |
1245518497 | HENNESSEY | ANNE | C |   | 34 MAXWELL DRIVE | PLANTSVILLE | CT | 06479 |
1053782169 | MANDRY | ANGELO |   |   | 22 MASONIC AVE | WALLINGFORD | CT | 064923048 |