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Julie Alexandra Bass

Physician Assistant in Hamden, CT. Individual provider (NPI-1).

NPI number1164041943
StatusActive
Last updated in NPPESApr 6, 2021

Details

NPI
1164041943
Entity type
Individual (NPI-1)
Name
Julie Alexandra Bass
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 13, 2020
Certification date
Apr 6, 2021
Last updated
Apr 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant026363NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

7232 Town Walk Dr
Hamden, CT 06518-3742

Phone 832-287-2539

Mailing address

7232 Town Walk Dr
Hamden, CT 06518-3742

Phone 832-287-2539

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