CHARLES PURCELL

NEW LONDON, CT
NPI1841810900
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  PA5169)
Enumeration Date2020-04-19
Last Update Date2025-05-21
Business Address
CHARLES PURCELL
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 631-813-7033
Mailing Address
CHARLES PURCELL
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 631-813-7033