Individual
MS. PETAGAY O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
266 S MAIN ST, NEWTOWN, CT 06470-6706
(203) 270-9000
Mailing address
2928 MAIN ST STE 101, GLASTONBURY, CT 06033-1007
(860) 430-1246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021544
NY
363AM0700X
Medical Physician Assistant
Primary
3035
CT
Other
Enumeration date
05/06/2008
Last updated
02/13/2019
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