Individual
MRS. SHANNON BURKE GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6133
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00251
CT
Other
Enumeration date
07/28/2011
Last updated
03/20/2018
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