Individual
MRS. MELINDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
1040 BARNUM AVE, STRATFORD, CT 06614-4968
(203) 377-5733
Mailing address
60 ELDER ST, MILFORD, CT 06460-6419
(478) 955-7267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3140
CT
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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