Individual
MISS JANINE ELADAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
226 MILL HILL AVE, BRIDGEPORT, CT 06610-2826
(203) 384-3127
Mailing address
28 COOLIDGE ST, STRATFORD, CT 06614-4220
(646) 833-9494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002097
CT
363A00000X
Physician Assistant
Primary
008456
NY
Other
Enumeration date
10/01/2007
Last updated
03/15/2011
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