Individual
MICHELA CUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(978) 870-3603
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(978) 870-3603
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
CT
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
04/24/2023
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