Individual
MISS STEPHANIE COLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
170 STILL HILL RD, HAMDEN, CT 06518-1827
(203) 640-8204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002829
CT
363AM0700X
Medical Physician Assistant
002829
CT
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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