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Individual

MICHAEL AARON MAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
464 CONGRESS AVE STE 260, NEW HAVEN, CT 06519
(203) 688-2222
Mailing address
464 CONGRESS AVE STE 260, NEW HAVEN, CT 06519-1362
(203) 688-2222

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4494
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4494
CT PA LICENSE
CT
Enumeration date
02/26/2019
Last updated
06/28/2019
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