Individual
TESSA ROSE KONCZYLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 382-3000
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 384-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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