Individual
MS. NINA MARIE CARUSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-7992
(203) 688-7736
Mailing address
300 GEORGE ST, FL 6, NEW HAVEN, CT 06511-6624
(203) 785-6610
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001028
CT
Other
Enumeration date
07/15/2008
Last updated
04/20/2016
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