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Individual

AVERY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
40 CROSS ST STE 300, NORWALK, CT 06851-4661
(203) 855-3680
Mailing address
40 CROSS ST, NORWALK, CT 06851-4647
(203) 855-3680

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
026344
NY
363A00000X
Physician Assistant
1162774
363A00000X
Physician Assistant
Primary
5130
CT

Other

Enumeration date
08/28/2020
Last updated
02/23/2026
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