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Prof. Leah Gynell Wallace, PA-C
Physician Assistant in Madison, Connecticut
NPI 1518233931

Leah Gynell Wallace is a Physician Assistant based in Middletown, CT. Leah Gynell Wallace practices in Madison, CT and has the professional credentials of PA-C. The NPI Number for Leah Gynell Wallace is 1518233931 and holds a License No. 002731 (Connecticut).

The current practice location address for Leah Gynell Wallace is 1347 Boston Post Rd, Madison, CT and can be reached out via phone at 203-779-5207 and via fax at 203-779-5792.

Location: 1347 Boston Post Rd, Madison, CT, 06457-3654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518233931
Provider Name
Leah Gynell Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1347 Boston Post Rd, Madison, CT, 06457-3654
Phone Number
203-779-5207
Fax Number
203-779-5792
Provider Enumeration Date
03/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008039969 05 CT
institution
Provider Business Practice Location Address Details
Address
1347 Boston Post Rd
City
Madison
State
Connecticut
Zip
06443-3475
Phone Number
203-779-5207
Fax Number
203-779-5792
person
Provider Business Mailing Address Details
Address
1347 Boston Post Rd
City
Madison
State
Connecticut
Zip
06443-3475
Phone Number
203-779-5207
Fax Number
203-779-5792
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
002731 (Connecticut)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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