Individual
MR. BRIAN FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 407-3500
(203) 407-4244
Mailing address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 626-0160
(203) 294-6734
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000263
CT
Other
Enumeration date
06/13/2006
Last updated
03/04/2022
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