Individual
STACEY RYDZEWSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8063
(860) 679-2626
(860) 679-1223
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8063
(860) 679-2626
(860) 679-1223
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
4901
CT
363A00000X
Physician Assistant
Primary
4901
CT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/08/2020
Last updated
09/14/2022
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