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1790062768
ELLEN GINGERELLA
NEW LONDON, CT
NPI
1790062768
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Former Name
ELLEN FAULISE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 3249)
Enumeration Date
2011-11-04
Last Update Date
2017-11-22
Business Address
ELLEN GINGERELLA PA-C
194 HOWARD ST
NEW LONDON, CT 06320-5544
Phone number: 860-442-0564
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Mailing Address
ELLEN GINGERELLA PA-C
194 HOWARD ST
NEW LONDON, CT 06320-5544
Phone number: 860-442-0564
Copy
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