Individual
GINA RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
385 MAIN ST SOUTH, STE 301 UNION SQUARE, SOUTHBURY, CT 06488
(203) 264-3319
(203) 267-6382
Mailing address
385 MAIN ST SOUTH, STE 301 UNION SQUARE, SOUTHBURY, CT 06488
(203) 264-3319
(203) 267-6382
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001710
CT
Other
Enumeration date
06/30/2006
Last updated
10/28/2021
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