Individual
AMANDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
63 E SHORE DR, NIANTIC, CT 06357-3833
(860) 919-0391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5747
CT
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/04/2022
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