Individual
JOANNE MARIE CHURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
950 CAMPBELL AVE, RENAL SECTION, 111F, WEST HAVEN, CT 06516
(203) 932-5711
(203) 937-3455
Mailing address
950 CAMPBELL AVE, RENAL SECTION, 111F, WEST HAVEN, CT 06516
(203) 932-5711
(203) 937-3455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000161
CT
Other
Enumeration date
09/28/2006
Last updated
01/13/2015
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