TYLER DAVID PHELAN

NEW HAVEN, CT
NPI1447753421
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  4042)
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
TYLER DAVID PHELAN
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 530-219-9097
Mailing Address
TYLER DAVID PHELAN
207 GEORGE ST APT 110
MIDDLETOWN, CT 06457-3591
Phone number: 530-219-9097
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