Individual
MRS. KATIE SCARLETT KWOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
267 GRANT ST, BRIDGEPORT HOSPITAL, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
730 ROWLAND RD, FAIRFIELD, CT 06824-6746
(203) 767-4051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001880
CT
363AM0700X
Medical Physician Assistant
001880
CT
Other
Enumeration date
03/22/2007
Last updated
09/10/2007
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