Individual
MISS MELISSA ADRIANA SAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5604
(465) 210-6368
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5604
(465) 210-6368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3970
CT
Other
Enumeration date
12/01/2017
Last updated
10/22/2019
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