SHINU KURIAKOSE

BRIDGEPORT, CT
NPI1902875289
Former NameSHINU KAIPPAKASERIL
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  001130)
Enumeration Date2006-03-17
Last Update Date2007-07-08
Business Address
-- SHINU KURIAKOSE PA-C
226 MILL HILL AVE 3RD FLOOR
BRIDGEPORT, CT 06610-2811
Phone number: 203-384-3873
Mailing Address
-- SHINU KURIAKOSE PA-C
PO BOX 5246
BRIDGEPORT, CT 06610-0246
Phone number: 203-384-3873
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