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Individual

ANNIE LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-3690
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-3690

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
025098
NY
363AS0400X
Surgical Physician Assistant
Primary
5781
CT

Other

Enumeration date
06/22/2020
Last updated
04/11/2023
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