Individual
MR. CHASE E CINQUEMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPAS
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4525
CT
363AM0700X
Medical Physician Assistant
Primary
4525
CT
Other
Enumeration date
07/24/2019
Last updated
10/24/2019
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