Individual
MARIA BIANCA PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Mailing address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
8649
CT
363A00000X
Physician Assistant
Primary
6787
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008084714
—
CT
Enumeration date
12/16/2018
Last updated
02/13/2025
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