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Individual

MS. AMANDA LEIGH SERINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 384-3000
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
018243
NY
363AS0400X
Surgical Physician Assistant
Primary
3129
CT

Other

Enumeration date
01/06/2015
Last updated
03/08/2021
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