Fonda Gravino, M.D. Valid NPI
Individual provider · Family Medicine Physician · Hartford, CT
- NPI
- 1952396020
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 042931 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-09-15
- Last updated
- 2021-09-09
Practice location
99 Woodland St
Hartford, CT 06105-1207
(860) 714-4212