Organization
CPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE PALECZNY PA-C (OWNER)
(410) 980-0100
Entity
Organization
Contact information
Practice address
1153 MAIN ST, COVENTRY, CT 06238-3115
(410) 980-0100
Mailing address
122 SPRING GROVE AVE, WARWICK, RI 02889-8722
(410) 980-0100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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