Individual
CAROLINE ANN CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 502-8400
Mailing address
5832 PENROSE AVE, DALLAS, TX 75206-5590
(210) 557-9925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6977
CT
363A00000X
Physician Assistant
PA15099
TX
Other
Enumeration date
10/27/2021
Last updated
02/06/2025
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