Individual
MR. LUIS A SERAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5675
(860) 224-5774
Mailing address
24 PEPPERIDGE RD, PORTLAND, CT 06480-1343
(860) 342-4432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001541
CT
363AM0700X
Medical Physician Assistant
Primary
001541
CT
Other
Enumeration date
06/16/2006
Last updated
01/14/2015
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