Individual
MRS. MAURITA A. EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2876 MAIN ST, STRATFORD, CT 06614-4984
(203) 386-3164
Mailing address
27 HOLCOMB ST, WEST HAVEN, CT 06516-7212
(860) 558-7582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MP1079311
CT
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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