Individual
MS. DIANE ST. PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
51-53 KENOSIA AVE, DANBURY, CT 03681
(203) 748-0330
(203) 731-3273
Mailing address
51-53 KENOSIA AVE, DANBURY, CT 06810
(203) 748-0330
(203) 731-3273
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001051
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001051
CT STATE LICENSE NUMBER
CT
Enumeration date
07/10/2006
Last updated
03/07/2023
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