Most Relevant Information
Provider Data
| NPI Number: | 1003195785 |
| Provider Name: | ELISE WINTER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/11/2011 |
| Last Updated: | 07/16/2014 |
Provider Practice Location
520 HARTFORD TPKE
SUITE M
VERNON
CT
060665037
Practice Location Phone/Fax
| Phone: | 8608728321 |
| Fax: | 8608756271 |
Provider Mailing Location
520 HARTFORD TPKE
SUITE M
VERNON
CT
060665037
Provider Mailing Phone/Fax
| Phone: | 8608728321 |
| Fax: | 8608756271 |