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Individual

MICAELA EARLE KWOCHKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-S

Contact information

Practice address
17 SUNRISE TER, MONROE, CT 06468-2925
(203) 814-6292
Mailing address
100 CHURCH ST S STE A230, NEW HAVEN, CT 06519-1703

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4884
CT

Other

Enumeration date
09/24/2019
Last updated
04/15/2022
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