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Individual

CARRIE FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
163 UNIVERSAL DR N, NORTH HAVEN, CT 06473-3152
(203) 874-3682
Mailing address
163 UNIVERSAL DR N, NORTH HAVEN, CT 06473-3152
(203) 874-3682

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3644
CT

Other

Enumeration date
08/16/2016
Last updated
03/31/2026
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