Individual
JULIE ALEXANDRA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7232 TOWN WALK DR, HAMDEN, CT 06518-3742
(832) 287-2539
Mailing address
7232 TOWN WALK DR, HAMDEN, CT 06518-3742
(832) 287-2539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026363
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2020
Last updated
04/06/2021
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