Individual
MR. ALAN ROBERT HOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 755-0163
(203) 574-5894
Mailing address
110 BRAEMAR DR, CHESHIRE, CT 06410-1614
(203) 272-2282
(203) 574-5894
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000637
STATE LICENSE
CT
Enumeration date
11/15/2005
Last updated
04/29/2013
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