Individual
JOSHUA BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
1372 RIDGE RD, NORTH HAVEN, CT 06473-3066
(203) 927-8675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.006961
CT
Other
Enumeration date
01/06/2025
Last updated
04/04/2025
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