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Individual

CHARLES ENGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3260
Mailing address
706 LARSON DR, DANBURY, CT 06810-7373

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017947
NY
363A00000X
Physician Assistant
Primary
23.003178
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1118886
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
CT
Enumeration date
09/22/2014
Last updated
09/01/2016
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