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1629564729
CARLY KRISAVAGE
BRIDGEPORT, CT
NPI
1629564729
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Professional Name
CARLY KRISAVAGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 4141)
Enumeration Date
2018-07-02
Last Update Date
2020-01-13
Business Address
CARLY KRISAVAGE Physician Assistant
161 BOSTON AVE
BRIDGEPORT, CT 06610-1662
Phone number: 203-333-4400
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Mailing Address
CARLY KRISAVAGE Physician Assistant
11 STONEFIELD DR
PROSPECT, CT 06712-1744
Phone number: 203-592-4376
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