Individual
TAYLOR SOPHIA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 384-3566
Mailing address
392 STATE ST APT 7E, NORTH HAVEN, CT 06473-3139
(949) 355-3443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CT
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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