Individual
CHRISTINE MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 ATLANTIC ST, STAMFORD, CT 06902
(203) 327-5111
(203) 327-2991
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-6864
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002147
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002147
STATE LICENSE
CT
Enumeration date
09/17/2008
Last updated
11/15/2011
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