MITCHELL S MCTAVISH

BRIDGEPORT, CT
NPI1386156891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  6716)
Enumeration Date2017-10-25
Last Update Date2025-01-23
Business Address
MITCHELL S MCTAVISH PA-C
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3145
Mailing Address
MITCHELL S MCTAVISH PA-C
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number:
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