Individual
STELLA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
385 W MAIN ST, AVON, CT 06001-4357
(608) 777-1280
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(214) 518-9999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
5574
CT
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/06/2022
Last updated
09/19/2024
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