Individual
CECILE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 SIMSBURY RD, SUITE 203, AVON, CT 06001-3793
(860) 284-5111
(860) 284-5114
Mailing address
100 SIMSBURY RD, SUITE 203, AVON, CT 06001-3793
(860) 284-5111
(860) 284-5114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000230
CT
363AM0700X
Medical Physician Assistant
Primary
000230
CT
Other
Enumeration date
12/18/2006
Last updated
12/20/2013
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