Individual
DANIELLE NICOLE MUNDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
761 MAIN AVE STE 102, NORWALK, CT 06851-1080
(203) 810-4151
Mailing address
761 MAIN AVE STE 102, NORWALK, CT 06851-1080
(203) 810-4151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3662
CT
363AS0400X
Surgical Physician Assistant
Primary
3662
CT
Other
Enumeration date
07/25/2016
Last updated
12/10/2020
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