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1720710536
PHOEBE SUSAN ELMENDORF
NORWALK, CT
NPI
1720710536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: CT 5759)
Enumeration Date
2022-06-29
Last Update Date
2024-05-07
Business Address
PHOEBE SUSAN ELMENDORF PA-C
34 MAPLE ST
NORWALK, CT 06850-3815
Phone number: 203-852-2160
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Mailing Address
PHOEBE SUSAN ELMENDORF PA-C
55 PARK AVE
POUGHKEEPSIE, NY 12603-3101
Phone number: 845-337-6380
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