Individual
ANISHA MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234A BANK ST FL 4, NEW LONDON, CT 06320-6065
(860) 442-0290
Mailing address
234A BANK ST FL 4, NEW LONDON, CT 06320-6065
(860) 442-0290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021057
NY
363AM0700X
Medical Physician Assistant
Primary
4292
CT
Other
Enumeration date
06/19/2017
Last updated
11/20/2018
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