Most Relevant Information
Provider Data
NPI Number: | 1003065855 |
Provider Name: | CHRISTINE MUNIZ |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 002147 |
Most Important Dates
Enumeration Date: | 09/17/2008 |
Last Updated: | 11/15/2011 |
Provider Practice Location
805 ATLANTIC ST
STAMFORD
CT
06902
Practice Location Phone/Fax
Phone: | 2033275111 |
Fax: | 2033272991 |
Provider Mailing Location
471 BARNUM AVE
BRIDGEPORT
CT
066082409
Provider Mailing Phone/Fax
Phone: | 2033336864 |
Fax: | 2033320376 |