Individual
NORMA LOUISE BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-4404
(203) 785-4580
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-4404
(203) 785-4580
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3949
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23.003949
PHYSICIAN ASSISTANT STATE LICENSE
CT
Enumeration date
09/08/2017
Last updated
03/06/2018
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