Individual
MR. PAUL OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
330 ORCHARD ST., NEW HAVEN, CT 06511
(203) 789-3152
(203) 867-5457
Mailing address
330 ORCHARD ST., NEW HAVEN, CT 06511
(203) 789-3152
(203) 867-5457
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1264
CT
363AS0400X
Surgical Physician Assistant
Primary
001264
CT
Other
Enumeration date
08/18/2006
Last updated
10/11/2019
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