Individual
AMANDA MARIE MONFALCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
512 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
(860) 894-1894
Mailing address
5 HIGH RIDGE PARK FL 2, STAMFORD, CT 06905-1332
(203) 869-1145
(203) 618-1721
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
000692771
OH
363AS0400X
Surgical Physician Assistant
Primary
6527
CT
Other
Enumeration date
08/16/2022
Last updated
04/22/2024
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