Individual
MARY MCNEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
Mailing address
911 STATE ST, NEW HAVEN, CT 06511-3926
(203) 503-3250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000212
CT
Other
Enumeration date
03/14/2006
Last updated
06/30/2010
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