Most Relevant Information
Provider Data
| NPI Number: | 1003001587 |
| Provider Name: | MARY CHAU TRAN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 012657 |
Most Important Dates
| Enumeration Date: | 09/07/2007 |
| Last Updated: | 01/24/2023 |
Provider Practice Location
400 SAYBROOK RD STE 205
MIDDLETOWN
CT
064574775
Practice Location Phone/Fax
| Phone: | 8883440007 |
| Fax: | 8603431004 |
Provider Mailing Location
280 SAND HILL RD
MIDDLETOWN
CT
064574533
Provider Mailing Phone/Fax
| Phone: | 9854130732 |
| Fax: |