Individual
MARY JOSEPHINE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
47 CLAPBOARD HILL RD., STE 2, GUILFORD, CT 06437
(203) 533-7159
(203) 533-7161
Mailing address
47 CLAPBOARD HILL RD., STE 2, GUILFORD, CT 06437
(203) 789-2255
(203) 495-1888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5268
CT
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008104362
—
CT
Enumeration date
09/26/2020
Last updated
06/19/2025
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