Individual
COURTNEY ROSE WHITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 SAYBROOK RD, SUITE 205, MIDDLETOWN, CT 06457-4773
(860) 346-7738
(860) 347-2097
Mailing address
4 FARM SPRINGS RD, FARMINGTON, CT 06032-2573
(860) 284-5213
(860) 284-5333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002882
CT
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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