Individual
LARISSA NKOUAMI PAMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5141
(860) 585-3966
Mailing address
41 BREWSTER RD, BRISTOL, CT 06010-5141
(860) 585-3966
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA12172800
NJ
208600000X
Surgery Physician
Primary
82999
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
09/12/2025
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