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Individual

MS. SHILPA DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-1000
Mailing address
75 KINGS HIGHWAY CUTOFF, FAIRFIELD, CT 06824
(203) 333-1133
(203) 333-3937

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1892
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011554
NYS LICENSE NUMBER
NY
01
1892
CT STATE LICENSE
CT
Enumeration date
10/18/2006
Last updated
03/08/2010
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