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Individual

SARA MARIE MICELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
166 WATERBURY RD STE 104, PROSPECT, CT 06712-1246
(203) 756-6422
Mailing address
166 WATERBURY RD STE 104, PROSPECT, CT 06712-1246
(203) 756-6422

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2983
CT

Other

Enumeration date
09/25/2013
Last updated
10/28/2021
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