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Individual

MRS. AMBER EBONI FATIMA MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831-5151
(203) 869-1145
(203) 618-1721
Mailing address
5 HIGH RIDGE PARK, FL 2, STAMFORD, CT 06905-1332
(203) 869-1145
(203) 618-1721

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1079
NH
363A00000X
Physician Assistant
PA9105797
FL
363AS0400X
Surgical Physician Assistant
014676
NY
363AS0400X
Surgical Physician Assistant
Primary
5523
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3101563
NH
Enumeration date
03/15/2011
Last updated
10/31/2024
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