Individual
ALYSON MARIE HERNIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
35 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 963-3883
(860) 963-6032
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4080
CT
Other
Enumeration date
04/16/2018
Last updated
10/23/2024
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