Individual
CHRISTOPHER MAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
ONE ROYCE CIRCLE, STORRS, CT 06268-2270
(860) 487-9200
(860) 487-9222
Mailing address
ONE ROYCE CIRCLE, STORRS, CT 06268-2270
(860) 487-9200
(860) 487-9222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002046
CT
363AM0700X
Medical Physician Assistant
002046
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002046
ST OF CT LICENSE
CT
Enumeration date
12/26/2007
Last updated
04/21/2021
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