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Individual

JULIE ZITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
196 PARKWAY S, SUITE303, WATERFORD, CT 06385-1234
(860) 443-4455
(860) 447-8961
Mailing address
41 FAIRE HARBOUR PL, NEW LONDON, CT 06320-4710
(860) 437-6914
(860) 437-6921

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3361
CT
363LP2300X
Primary Care Nurse Practitioner
3361
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008061833
CT
Enumeration date
07/02/2015
Last updated
07/27/2022
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