Individual
ANNMARIE SHABAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 CEDAR ST, BB205, NEW HAVEN, CT 06510-3218
(203) 785-2127
(203) 737-2163
Mailing address
51 TRUMBULL LN, SOUTH WINDSOR, CT 06074-2369
(860) 299-5024
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003609
CT
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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