CARLY KRISAVAGE

BRIDGEPORT, CT
NPI1629564729
Professional NameCARLY KRISAVAGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  4141)
Enumeration Date2018-07-02
Last Update Date2020-01-13
Business Address
CARLY KRISAVAGE Physician Assistant
161 BOSTON AVE
BRIDGEPORT, CT 06610-1662
Phone number: 203-333-4400
Mailing Address
CARLY KRISAVAGE Physician Assistant
11 STONEFIELD DR
PROSPECT, CT 06712-1744
Phone number: 203-592-4376