Individual
MR. ALLEN PAUL MICHOT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6600
(860) 496-6666
Mailing address
760 RIVERSIDE DR, ORANGE, CT 06477-1726
(706) 331-5530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4622
CT
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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