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Stephanie Fiorentino

Physician Assistant, Medical in New Haven, CT. Individual provider (NPI-1).

NPI number1871069559
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1871069559
Entity type
Individual (NPI-1)
Name
Stephanie Fiorentino
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2018
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical––Yes
363A00000X Physician Assistant4190CT

Practice location

1 Park St
New Haven, CT 06504-8901

Phone 203-688-4242

Mailing address

36 Carina Rd
North Haven, CT 06473-2403

Phone 203-317-1855

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