Individual
CAYLA CIRSTEN DANIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 SEYMOUR AVE SUITE 102, DERBY, CT 06418-1343
(203) 516-5303
(203) 732-8136
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1256
(203) 732-1539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3684
CT
363AM0700X
Medical Physician Assistant
Primary
3684
CT
Other
Enumeration date
11/16/2016
Last updated
10/22/2020
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