Individual
MISS MARY GEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5513
Mailing address
75 HOCKANUM BLVD, UNIT 824, VERNON, CT 06066-4056
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002341
CT
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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