Individual
ELIZABETH ASHLEY PALOMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114 WOODLAND ST, NICU, HARTFORD, CT 06105-1208
(860) 714-4404
(860) 714-4595
Mailing address
114 WOODLAND ST, NICU, HARTFORD, CT 06105-1208
(860) 714-4404
(860) 714-4595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3110
CT
363A00000X
Physician Assistant
PA6169
MA
363AM0700X
Medical Physician Assistant
Primary
3110
CT
Other
Enumeration date
07/08/2014
Last updated
07/21/2017
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