Individual
MRS. ELAINE MAZOR REMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
148 EAST AVE, SUITE 3A, NORWALK, CT 06851-5721
(203) 899-0744
Mailing address
126 HERITAGE HILL RD, APT B, NEW CANAAN, CT 06840-4629
(201) 424-4261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001724
CT
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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