Search › Connecticut › 363A00000X
Olivia Koukoularis, PA-C
NPI 1952704561 · on the registry since 2014
Practice
- Address
- 415 Ocean Ave
New London, CT 06320 - Phone
- (860) 437-1100
- Organisation at this address
- Shoreline Pulmonary Associates Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363AM0700X - Licence states on file
- RI, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-11
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