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1861222713
NICOLE MODELL
NEW HAVEN, CT
NPI
1861222713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 6843)
Enumeration Date
2024-08-06
Last Update Date
2024-11-13
Business Address
NICOLE MODELL PA-C
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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Mailing Address
NICOLE MODELL PA-C
370 BASSETT RD
NORTH HAVEN, CT 06473-4201
Phone number: 203-745-8373
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