Individual
STEPHANIE MADLENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
3 MUNSON DR UNIT 7, WALLINGFORD, CT 06492-5370
(203) 988-6497
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23.005073
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
03/03/2021
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