TIMOTHY EDWARD MULBERRY

FAIRFIELD, CT
NPI1649975012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  6138)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2023-04-04
Last Update Date2023-08-02
Business Address
TIMOTHY EDWARD MULBERRY
796 KNAPPS HWY
FAIRFIELD, CT 06825-4208
Phone number: 203-505-4508
Mailing Address
TIMOTHY EDWARD MULBERRY
796 KNAPPS HWY
FAIRFIELD, CT 06825-4208
Phone number: 203-505-4508