Individual
SHAYLAH MARIE RENZULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 647-4777
(860) 647-6862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7247
CT
Other
Enumeration date
06/12/2023
Last updated
10/06/2025
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