Individual
MS. ROSE SFERLAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 HIGHLAND AVE, SCHOOL BASED HEALTH CENTER AT BMHS, NORWALK, CT 06854-4029
(203) 854-0524
Mailing address
4 ISLAND DR, NORWALK, CT 06855-2703
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000515
CT
363AM0700X
Medical Physician Assistant
MS1653422
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000515
STATE OF CONNECTICUT LICENSE
CT
Enumeration date
11/18/2008
Last updated
11/18/2008
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