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Individual

ASHLEY DURCHHALTER

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) 384-3000
Mailing address
998 THIRD AVE, FRANKLIN SQUARE, NY 11010-1846
(516) 322-3620

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23.003378
CT

Other

Enumeration date
07/08/2015
Last updated
07/08/2015
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