Individual
CHRISTOPHER J DELGROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
385 W MAIN ST, AVON, CT 06001-4357
(860) 777-1280
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009666
NY
363AM0700X
Medical Physician Assistant
Primary
146
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02566136
—
NY
01
—
P00125222
RR MEDICARE
NY
Enumeration date
11/03/2005
Last updated
02/04/2025
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