Individual
THERESE-ANN DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3199
Mailing address
15 WHITE TAIL LN, TRUMBULL, CT 06611-3992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00515
CT
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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