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Individual

MRS. MELISSA GERARDI FAIRBAIRN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
35 PARK STREET, NORTH PAVILLION, 1ST FLOOR, NEW HAVEN, CT 06511
(203) 200-4176
Mailing address
28 RUSSETT RD, SANDY HOOK, CT 06482-1455
(203) 528-8870

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3303
CT
363AM0700X
Medical Physician Assistant
Primary
3303
CT

Other

Enumeration date
01/26/2007
Last updated
04/14/2020
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