Individual
CAROLYN DOROTHY TELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(419) 483-4040
Mailing address
35 INDIAN HILL RD, MEDFIELD, MA 02052-2908
(508) 439-9663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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