Individual
MS. GENIE NOELLE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
32 STRAWBERRY HILL CT, SUITE 11001, STAMFORD, CT 06902-2594
(203) 276-4400
(203) 276-4401
Mailing address
32 STRAWBERRY HILL CT, SUITE 11001, STAMFORD, CT 06902-2594
(203) 276-4400
(203) 276-4401
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2003
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003020039
—
CT
Enumeration date
01/04/2008
Last updated
09/20/2016
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