Individual
MS. MOLLY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3260
Mailing address
105 SHRUB OAK LN, FAIRFIELD, CT 06824-7803
(203) 339-5479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001498
CT
Other
Enumeration date
09/28/2006
Last updated
05/23/2019
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