Individual
MIKAELA PERRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 BOSTON POST RD, ORANGE, CT 06477-3506
(203) 874-3682
Mailing address
521 BOSTON POST RD, ORANGE, CT 06477-3506
(203) 874-3682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5277
CT
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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