Individual
THEODORA FRASER MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
151 CLIFTON ST, NEW HAVEN, CT 06513-3319
(203) 469-3816
Mailing address
151 CLIFTON ST, NEW HAVEN, CT 06513-3319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3310
CT
Other
Enumeration date
04/17/2015
Last updated
06/27/2016
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