Search › Connecticut › 363AS0400X
Amanda Edison
NPI 1518623321 · on the registry since 2021 · sole proprietor
Practice
- Address
- 157 Stockade Rd
South Glastonbury, CT 06073 - Phone
- (860) 331-0060
Additional practice sites
- 80 Seymour St, Hartford, CT
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 390200000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut