Individual
KAITLYN ZUGIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
65 MEMORIAL RD STE 508, WEST HARTFORD, CT 06107-4233
(860) 696-2925
Mailing address
65 MEMORIAL RD STE 508, WEST HARTFORD, CT 06107-4233
(860) 696-2925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022600
NY
363A00000X
Physician Assistant
25MP00578000
NJ
363A00000X
Physician Assistant
Primary
4257
CT
Other
Enumeration date
09/25/2018
Last updated
11/20/2024
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