Individual
CHRISTINA BAGLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(347) 893-6479
Mailing address
1470 83RD ST, BROOKLYN, NY 11228-3110
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3937
CT
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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