Individual
BROOKE H KOKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
56 FRANKLIN ST, EMERGENCY DEPARTMENT, WATERBURY, CT 06706-1221
(203) 709-6059
Mailing address
370 YALE AVE, MERIDEN, CT 06450-7228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001057
CT
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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