Individual
REBECCA A BUNNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CENTER, NEW HAVEN, CT 06513
(203) 777-7411
(203) 777-8506
Mailing address
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CENTER, NEW HAVEN, CT 06513
(203) 777-7411
(203) 777-8506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001478
CT
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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