Individual
MS. STEPHANIE MARIE DECESARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1308 CHAPEL ST, NEW HAVEN, CT 06511-4515
(203) 865-5111
Mailing address
1308 CHAPEL ST, NEW HAVEN, CT 06511-4515
(203) 865-5111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003196
CT
Other
Enumeration date
01/05/2015
Last updated
04/05/2022
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