Individual
STEPHANIE FIORENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PARK ST, NEW HAVEN, CT 06504-8901
(203) 688-4242
Mailing address
36 CARINA RD, NORTH HAVEN, CT 06473-2403
(203) 317-1855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4190
CT
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
11/03/2020
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