Individual
BROOKE H SIKORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
24 ASH DR, GALES FERRY, CT 06335-1702
(860) 608-8270
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2597
CT
Other
Enumeration date
08/05/2011
Last updated
11/02/2020
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