Individual
MARY E GAWRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
216 RIMMON RD, WOODBRIDGE, CT 06525-1920
(203) 387-6824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000710
CT
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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