Individual
MRS. ELLEN MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
489 POST RD E, WESTPORT, CT 06880-4435
(203) 226-3600
(203) 226-2555
Mailing address
489 POST RD E, WESTPORT, CT 06880-4435
(203) 226-3600
(203) 226-2555
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000536
CT
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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