Individual
MS. TZIPPORAH JAEL VANNORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
950 CAMPBELL AVE, UNIT T3W, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
3017 MAIN ST, STRATFORD, CT 06614-4977
(203) 683-0625
(203) 878-7043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4270
CT
363AM0700X
Medical Physician Assistant
004932
NY
Other
Enumeration date
08/22/2006
Last updated
10/15/2019
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