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Carly Krisavage, PHYSICIAN ASSISTANT
NPI 1629564729 · on the registry since 2018
Practice
- Address
- 161 Boston Ave
Bridgeport, CT 06610 - Phone
- (203) 333-4400
- Fax
- (203) 334-0729
- Organisation at this address
- Sph Enterprise Llc
Sph Bridgeport, Llc
Bridge Pharmacy Llc
Quentin Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 1918 Black Rock Tpke, Fairfield, CT
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-13
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