Individual
CANDICE ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Mailing address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-4051
(203) 932-4051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3638
CT
363AM0700X
Medical Physician Assistant
3638
CT
Other
Enumeration date
06/03/2016
Last updated
08/06/2026
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