Organization
PER DIEM PA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY A WOLFF (SECRETARY)
(203) 984-7889
Entity
Organization
Contact information
Practice address
1579 STRAITS TPKE, MIDDLEBURY, CT 06762-1835
(203) 754-0065
Mailing address
137 DANBURY RD, NEW MILFORD, CT 06776-3428
(203) 770-1610
(860) 355-7373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
08/22/2020
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