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Individual

CHRISTI ANN MOREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS, PA-C

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2430
(203) 688-4323
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2430
(203) 688-4323

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23.003869
CT
363AS0400X
Surgical Physician Assistant
Primary
23.003869
CT
363AS0400X
Surgical Physician Assistant
PA.A10291.RX
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014443
LA
01
5F600PF86
MEDICARE - PTAN
LA
Enumeration date
05/19/2006
Last updated
06/15/2022
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