Individual
PRINCE ACQUAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1918 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3543
(203) 583-8400
Mailing address
122 HOYT ST APT T1, STAMFORD, CT 06905-5771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1162757
CT
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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