Individual
ALEXANDER JAMES EJZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002130
CT
Other
Enumeration date
08/13/2008
Last updated
02/26/2019
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