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Olivia Jean Koukoularis, PA-C
Medical Physician Assistant in New London, Connecticut
NPI 1952704561

Olivia Jean Koukoularis is a Medical Physician Assistant based in New London, CT and is specialized in Medical. Olivia Jean Koukoularis practices in New London, CT and has the professional credentials of PA-C. The NPI Number for Olivia Jean Koukoularis is 1952704561 and holds a License No. PA00783 (Connecticut).

The current practice location address for Olivia Jean Koukoularis is 415 Ocean Ave, New London, CT and can be reached out via phone at 860-437-1100.

Location: 415 Ocean Ave, New London, CT, 06320-4716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952704561
Provider Name
Olivia Jean Koukoularis
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
415 Ocean Ave, New London, CT, 06320-4716
Phone Number
860-437-1100
Fax Number
Provider Enumeration Date
09/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 Ocean Ave
City
New London
State
Connecticut
Zip
06320-4716
Phone Number
860-437-1100
Fax Number
person
Provider Business Mailing Address Details
Address
415 Ocean Ave
City
New London
State
Connecticut
Zip
06320-4716
Phone Number
860-437-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
3202 (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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA00783 (Rhode Island)
Definition
Definition to come...
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