Individual
MRS. MARYALICE S. MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850
(203) 852-2188
Mailing address
12 MACINTOSH RD, NORWALK, CT 06851-5909
(203) 866-1547
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000102
CT
Other
Enumeration date
02/17/2006
Last updated
08/22/2018
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