Individual
MS. KIMBERLY GUZZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
196 PARKWAY S, SUITE 103, WATERFORD, CT 06385-1234
(860) 443-4383
(860) 443-3980
Mailing address
99 HAWLEY LN FL 3, STRATFORD, CT 06614-1202
(860) 443-4383
(860) 443-3980
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1019
CT
363AM0700X
Medical Physician Assistant
Primary
001019
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376587584
—
CT
05
—
1376587584
—
RI
Enumeration date
06/16/2006
Last updated
02/28/2022
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