Individual
ANGELA M DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST CB-2041, YNH MEDICAL SERVICES PC, NEW HAVEN, CT 06504
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK ST CB-2041, YNH MEDICAL SERVICES PC, NEW HAVEN, CT 06504
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
000741
CT
363A00000X
Physician Assistant
Primary
000741
CT
363AM0700X
Medical Physician Assistant
000741
CT
Other
Enumeration date
08/31/2006
Last updated
11/02/2009
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