Individual
CARLYE MARISSA BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831-5151
(203) 485-8735
Mailing address
13 CAROLYN CT, EATONTOWN, NJ 07724-1365
(908) 596-0320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3928
CT
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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