Individual
NATALIE MARIE CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 DAYTON RD STE 205, WATERFORD, CT 06385-4279
(860) 443-4445
(860) 447-8961
Mailing address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444
(908) 542-3000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00473600
NJ
363AM0700X
Medical Physician Assistant
Primary
5660
CT
Other
Enumeration date
04/22/2013
Last updated
10/23/2025
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