Isabel Marguerite Brodersen PA

NPI 1144247966 - Physician Assistant - 363AM0700X

NPI Details
NPI 1144247966
Gender Female
Enumeration Date 07/16/2006
Last Updated 09/11/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
56 FRANKLIN ST
WATERBURY CT, 06706-1221, US
Phone (203) 709-3538
Fax (203) 709-7258
Business Location
56 FRANKLIN ST
3RD FLOOR
WATERBURY CT, 06706-1221, US
Phone (203) 709-8873
Fax (203) 709-8689
Toxanomy
Taxonomy Code 363AM0700X
License State Connecticut
License Number 000155
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According to our database, Isabel Marguerite Brodersen PA NPI is 1144247966, taxonomy code is 363AM0700X and license number is 000155, license state is located at Connecticut. Isabel Marguerite Brodersen PA physically located at 56 Franklin St, Waterbury CT, 06706-1221. NPI Number Isabel Marguerite Brodersen PA has the Individual type.

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1144247966 NPI number is provided on an as is basis without warranty of any kind. 1144247966 is maintained by the National Plan & Provider Enumeration System. The contents of Isabel Marguerite Brodersen PA are for informational purposes only.