Individual
ALLISON BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
330 WESTERN BLVD, GLASTONBURY, CT 06033-4383
(860) 522-4158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
CT
363AS0400X
Surgical Physician Assistant
Primary
3693
CT
Other
Enumeration date
09/26/2016
Last updated
09/24/2020
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