Individual
MS. KIRSTEN MAGDA PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
280 S MAIN ST STE 210, CHESHIRE, CT 06410-3112
(203) 271-3296
(203) 250-7957
Mailing address
1290 SILAS DEANE HIGHWAY, HHC - CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6288
CT
Other
Enumeration date
03/08/2021
Last updated
09/26/2023
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