Individual
BRIELLE ROSSOMANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5520 PARK AVE STE WP2-300, TRUMBULL, CT 06611-3463
(203) 374-0310
Mailing address
5520 PARK AVE STE WP2-300, TRUMBULL, CT 06611-3463
(203) 374-0310
(203) 374-0314
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
25MP00475800
NJ
363AS0400X
Surgical Physician Assistant
Primary
4701
CT
Other
Enumeration date
06/12/2018
Last updated
04/07/2023
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