Individual
REBECCA LEE PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7325
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-7325
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4518
CT
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
01/27/2022
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