AUDREY ELLEN DOUGLAS

NEW HAVEN, CT
NPI1659383404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  000727)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
-- AUDREY ELLEN DOUGLAS P.A.
20 YORK ST
NEW HAVEN, CT 06504-8900
Phone number: 203-688-2318
Mailing Address
-- AUDREY ELLEN DOUGLAS P.A.
26 JOHN ST
DERBY, CT 06418-2602
Phone number:
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