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Individual

MRS. STEPHANIE C GRIMALDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
20 YORK STREET CB-2041, NEW HAVEN, CT 06510
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET CB-2041, NEW HAVEN, CT 06510
(203) 688-4748
(203) 688-4740

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001024
CT
363AM0700X
Medical Physician Assistant
001024
CT

Other

Enumeration date
03/23/2006
Last updated
09/23/2010
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