Individual
MR. PAUL NICOLOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
365 MONTAUK AVENUE, LAWRENCE MEMORIAL HOSPITAL, NEW LONDON, CT 06320
(860) 442-0711
(860) 444-3733
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 444-3733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
CT
363A00000X
Physician Assistant
—
NY
363AM0700X
Medical Physician Assistant
Primary
2778
CT
Other
Enumeration date
06/29/2012
Last updated
12/30/2025
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