Provider Demographics
NPI:1669592630
Name:CHERRONE, DEANNA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:MARIE
Last Name:CHERRONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:DEANNA
Other - Middle Name:MARIE
Other - Last Name:APPLETON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:639 PARK ROAD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107
Mailing Address - Country:US
Mailing Address - Phone:860-677-4600
Mailing Address - Fax:860-677-4660
Practice Address - Street 1:639 PARK RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-3443
Practice Address - Country:US
Practice Address - Phone:860-677-4600
Practice Address - Fax:860-677-4660
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT031313207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTE8844Medicare UPIN