Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Blake Ann Acquarulo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205681061

Dr. Blake Ann Acquarulo, MD is a Student in an Organized Health Care Education/Training Program in Farmington, Connecticut. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-8080
Fax: (860) 679-1340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205681061
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address263 Farmington Ave, Farmington, CT 06030-1921

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