Most Relevant Information
Provider Data
| NPI Number: | 1003197039 |
| Provider Name: | CARLY RUMANOFF PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/04/2011 |
| Last Updated: | 09/26/2014 |
Provider Practice Location
3588 WHITNEY AVE
HAMDEN
CT
065181920
Practice Location Phone/Fax
| Phone: | 2032882550 |
| Fax: |
Provider Mailing Location
3588 WHITNEY AVE
HAMDEN
CT
065181920
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |