ELIZA JOSEPHINE LONG

WATERBURY, CT
NPI1144054842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
Enumeration Date2024-08-27
Last Update Date2024-08-27
Business Address
ELIZA JOSEPHINE LONG
3801 E MAIN ST
WATERBURY, CT 06705-3815
Phone number: 203-709-4030
Mailing Address
ELIZA JOSEPHINE LONG
60 BROAD ST APT 2A
MILFORD, CT 06460-3391
Phone number:
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