Individual
MR. CHARLES SEVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
112 QUARRY ROAD, SUITE 400, TRUMBULL, CT 06611-4816
(203) 333-8800
(203) 333-6054
Mailing address
112 QUARRY ROAD, SUITE 400, TRUMBULL, CT 06611-4816
(203) 333-8800
(203) 333-6054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003579
CT
Other
Enumeration date
06/16/2016
Last updated
07/07/2016
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