Individual
CELIN ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
(203) 709-7753
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002285
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008018870
—
CT
01
—
1407171085
ANTHEM BCBS CT
CT
01
—
643896
WELLCARE
CT
01
—
9579623
AETNA
CT
Enumeration date
04/07/2010
Last updated
11/08/2021
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