Individual
MARIYA ALEXANDRA MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1330
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1330
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5355
CT
Other
Enumeration date
07/19/2021
Last updated
07/13/2022
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