Individual
MARGARITA KOLITSAS
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
(203) 732-1332
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1330
(203) 732-1332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4319
CT
363AS0400X
Surgical Physician Assistant
Primary
4319
CT
Other
Enumeration date
08/16/2018
Last updated
01/09/2025
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