Individual
AMANDA FOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
205 MAIN ST, EAST HAVEN, CT 06512-3003
(203) 466-5070
(203) 466-5075
Mailing address
205 MAIN ST, EAST HAVEN, CT 06512-3003
(203) 466-5070
(203) 466-5075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003179
CT
363A00000X
Physician Assistant
03179
CT
Other
Enumeration date
09/24/2014
Last updated
10/08/2018
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