Individual
AMANDA CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 OLD SAYBROOK ROAD, MIDDLETOWN, CT 06457
(860) 636-2010
Mailing address
420 OLD SAYBROOK ROAD, MIDDLETOWN, CT 06457
(860) 406-2731
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4819
CT
Other
Enumeration date
05/23/2020
Last updated
11/19/2025
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