Individual
ANNETTE RODRIGUEZ MERTURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-3030
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-3030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001094
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004234788
—
CT
Enumeration date
10/03/2006
Last updated
06/12/2015
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