Individual
MADISON ELIZABETH AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
761 MAIN AVE STE 102, NORWALK, CT 06851-1080
(203) 810-4151
Mailing address
761 MAIN AVE STE 102, NORWALK, CT 06851-1080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
62769
CA
363A00000X
Physician Assistant
PA.0005175
CO
363AS0400X
Surgical Physician Assistant
Primary
5030
CT
Other
Enumeration date
11/30/2017
Last updated
06/29/2023
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