Individual
ALIZA MARIE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-5708
Mailing address
11 LADLEY RD, QUAKER HILL, CT 06375-1409
(860) 861-3440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.006227
CT
363AM0700X
Medical Physician Assistant
23.006227
CT
363AS0400X
Surgical Physician Assistant
23.006227
CT
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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