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NOAH PETER LISEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-S

Contact information

Practice address
263 ALDEN ST # 1107, SPRINGFIELD, MA 01109-3788
(413) 748-3000
Mailing address
9 STRAWBERRY RD APT 45, ELLINGTON, CT 06029-2540
(203) 592-5583

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5351
CT

Other

Enumeration date
02/22/2021
Last updated
08/18/2021
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