Individual
MR. PAUL CHRISTOPHER POLZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
399 FARMINGTON AVE, SUITE 210, FARMINGTON, CT 06032-1936
(860) 548-7338
(860) 674-4232
Mailing address
399 FARMINGTON AVE, SUITE 210, FARMINGTON, CT 06032-1936
(860) 548-7338
(860) 674-4232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA052532
PA
363AS0400X
Surgical Physician Assistant
Primary
000705
CT
Other
Enumeration date
07/09/2006
Last updated
07/09/2012
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