Individual
MS. MARY-JANE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 STEVENS ST, NORWALK, CT 06851
(203) 853-3464
Mailing address
148 GREENS FARMS RD, WESTPORT, CT 06880-6215
(203) 454-5938
(203) 454-7142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000764
CT
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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