Individual
MRS. ALEXIS GRACE SHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 502-8400
Mailing address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 502-8400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3872
CT
Other
Enumeration date
07/14/2017
Last updated
03/25/2020
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