Organization
BROOKFIELD PREVENTIVE MEDICINE, LLC
Active
Organization
BROOKFIELD PREVENTIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUGENIA ANN CORRIERO PA-C (MEMBER)
(203) 740-7500
Entity
Organization
Contact information
Practice address
300 FEDERAL RD, BUILDING 1, SUITE 100, BROOKFIELD, CT 06804-2412
(203) 740-7500
Mailing address
300 FEDERAL RD, BUILDING 1, SUITE 100, BROOKFIELD, CT 06804-2412
(203) 740-7500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001466
CT
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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