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Richard Commaille, PA

Physician Assistant, Surgical in New Britain, CT. Individual provider (NPI-1).

NPI number1891897963
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1891897963
Entity type
Individual (NPI-1)
Name
Richard Commaille
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Sep 1, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical000162CTYes

Practice location

100 Grand St
Medical Staff Office, Att: Ondrea Chasse
New Britain, CT 06052-2016

Phone 860-224-5305 · Fax 860-224-5565

Mailing address

100 Grand St
New Britain, CT 06052-2016

Phone 860-224-5305 · Fax 860-224-5565

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