Individual
MRS. BRIANNA MARIE GAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5141
(860) 585-3000
Mailing address
41 BREWSTER RD, BRISTOL, CT 06010-5141
(860) 585-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4152
CT
363AS0400X
Surgical Physician Assistant
Primary
4152
CT
Other
Enumeration date
06/01/2018
Last updated
03/24/2021
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