Individual
EMILY ROSE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
339 HEMINGWAY AVE, EAST HAVEN, CT 06512-5341
(203) 468-9775
Mailing address
15 SANDRA DR, BRANFORD, CT 06405-6137
(203) 464-1909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003640
CT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/17/2016
Last updated
11/15/2021
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