Individual
STEPHANIE PHOENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Mailing address
12 MERWYN RD, WALLINGFORD, CT 06492-2235
(203) 500-6475
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23.007148
CT
Other
Enumeration date
04/22/2025
Last updated
07/23/2025
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