Individual
MARCIA GRACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3840
(203) 864-4738
Mailing address
543 MAIN ST APT 513, NEW ROCHELLE, NY 10801-7266
(914) 500-7025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6038
CT
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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