Individual
MISS ANNE DELANCEY SOUTHALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24 STEVENS ST, DEPARTMENT OF SURGERY, NORWALK, CT 06850-3852
(203) 852-2000
Mailing address
24 LOWER TRINITY PASS RD, POUND RIDGE, NY 10576-2121
(914) 764-0733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001526
CT
363A00000X
Physician Assistant
PA761
ME
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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