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Courtney G Moller, PA
Medical Physician Assistant in West Haven, Connecticut
NPI 1043467855

Courtney G Moller is a Medical Physician Assistant based in West Haven, CT and is specialized in Medical. Courtney G Moller practices in West Haven, CT and has the professional credentials of PA. The NPI Number for Courtney G Moller is 1043467855 and holds a License No. (Connecticut).

The current practice location address for Courtney G Moller is 950 Campbell Ave, West Haven, CT and can be reached out via phone at 203-932-5711.

Location: 950 Campbell Ave, West Haven, CT, 06516-2770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043467855
Provider Name
Courtney G Moller
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
950 Campbell Ave, West Haven, CT, 06516-2770
Phone Number
203-932-5711
Fax Number
Provider Enumeration Date
08/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA3371 01 MA LICENSE
002124 01 CT LICENSE
institution
Provider Business Practice Location Address Details
Address
950 Campbell Ave
City
West Haven
State
Connecticut
Zip
06516-2770
Phone Number
203-932-5711
Fax Number
person
Provider Business Mailing Address Details
Address
950 Campbell Ave
City
West Haven
State
Connecticut
Zip
06516-2770
Phone Number
203-932-5711
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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