Individual
CHAYSE HELLTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 PARK AVE, BRIDGEPORT, CT 06604-7620
(800) 392-3582
Mailing address
4 BAILEY ST, TRUMBULL, CT 06611-4302
(203) 540-7815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4929
CT
Other
Enumeration date
03/31/2020
Last updated
08/06/2020
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