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Individual

BRYNA L. AVENIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6679
(860) 496-6650
Mailing address
PO BOX 30774, HARTFORD, CT 06150-0774
(866) 898-7138
(616) 975-9824

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000802
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
802000
CONNECTICARE
Enumeration date
10/16/2006
Last updated
05/07/2008
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