Individual
RAINA DICSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6133
Mailing address
888 WHITE PLAINS RD STE 206, TRUMBULL, CT 06611-4552
(203) 459-2666
(203) 459-8555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
09/05/2023
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