Individual
ERIK LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
84 GLASTONBURY BLVD, GLASTONBURY, CT 06033
(860) 652-8883
(860) 652-8887
Mailing address
84 GLASTONBURY BLVD, GLASTONBURY, CT 06033-4468
(860) 652-8883
(860) 652-8887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001592
CT
Other
Enumeration date
09/15/2006
Last updated
08/15/2008
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