Individual
MARY E. CASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
22 MASONIC AVE, 1ST FLOOR, WALLINGFORD, CT 06492-3048
(203) 679-5900
(203) 265-7413
Mailing address
22 MASONIC AVE, 1ST FLOOR, WALLINGFORD, CT 06492-3048
(203) 679-5900
(203) 265-7413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000596
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001005083
—
CT
Enumeration date
12/20/2005
Last updated
04/04/2016
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