Individual
DAVID LISI CELINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
60 WATSON BLVD, STRATFORD, CT 06615-7171
(203) 380-5945
Mailing address
63 BELLEVIEW DR, DERBY, CT 06418-2304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5122
CT
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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