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“Physician Assistant” (Prospect, CT)

Location: Prospect, CT
Taxonomy: Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1659925956 — MS. OLIVIA RAE LEACH PA-C
Practice Location Address:
73 WATERBURY RD
PROSPECT CT
06712-1252
Practice Phone: 203-527-9444
1801307475 — JESSICA MAGDALENA PELLETIER
Practice Location Address:
166 WATERBURY RD STE 104
PROSPECT CT
06712-1246
Practice Phone: 203-756-6422
1871279315 — MARY MARIA NACCARATO
Practice Location Address:
166 WATERBURY RD
PROSPECT CT
06712-1200
Practice Phone: 203-709-5300
1992131676 — SARA MARIE MICELI PA-C
Practice Location Address:
166 WATERBURY RD STE 104
PROSPECT CT
06712-1246
Practice Phone: 203-756-6422

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