Individual
MRS. GEORGINA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C
Contact information
Practice address
131 KENT RD, NEW MILFORD, CT 06776-3485
(860) 355-8000
(860) 350-6291
Mailing address
131 KENT RD, NEW MILFORD, CT 06776-3485
(860) 355-8000
(860) 350-6291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000805
CT
Other
Enumeration date
10/12/2006
Last updated
04/06/2015
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