Individual
AMY J MIKLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 WESTFIELD AVE, ANSONIA, CT 06401-1158
(203) 736-9919
(203) 735-2055
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3458
CT
Other
Enumeration date
10/20/2015
Last updated
12/30/2022
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