Individual
PHILIP K NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
Mailing address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2700
CT
Other
Enumeration date
01/03/2012
Last updated
11/01/2016
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