Individual
PAULA JOAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
464 WOLCOTT ROAD, WOLCOTT, CT 06716-2626
(203) 633-4560
(203) 879-3566
Mailing address
464 WOLCOTT ROAD, WOLCOTT, CT 06716-2626
(203) 633-4560
(203) 879-3566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002291
CT
Other
Enumeration date
09/21/2009
Last updated
08/30/2010
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