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Individual

KIM A STANOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
263 FARMINGTON AVE, UCONN/MARB/ORTHOPAEDIC ASSOCIATES, FARMINGTON, CT 06030-0001
(860) 679-6600
(860) 679-6604
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000498
CT

Other

Enumeration date
11/30/2005
Last updated
09/26/2022
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