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Individual

ELLEN GINGERELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
194 HOWARD ST, NEW LONDON, CT 06320-5544
(860) 442-0564
Mailing address
194 HOWARD ST, NEW LONDON, CT 06320-5544
(860) 442-0564

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3249
CT

Other

Enumeration date
11/04/2011
Last updated
11/22/2017
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