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Individual

MS. TRISHNA WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
385 MAIN ST S, SUITE 301, SOUTHBURY, CT 06488-4240
(203) 264-3319
(203) 267-6382
Mailing address
385 MAIN ST S, SUITE 301, SOUTHBURY, CT 06488-4240
(203) 264-3319
(203) 267-6382

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001747
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004085636
CT
Enumeration date
05/04/2006
Last updated
11/10/2021
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