TRISTA RAE PENNINGTON

BRIDGEPORT, CT
NPI1376103812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  4561)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: CT  4561)
Enumeration Date2019-06-17
Last Update Date2022-09-18
Business Address
TRISTA RAE PENNINGTON PA-C
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-988-5187
Mailing Address
TRISTA RAE PENNINGTON PA-C
41 MELBA ST
MILFORD, CT 06460-7438
Phone number: 860-334-7901