Most Relevant Information
Provider Data
| NPI Number: | 1003672825 |
| Provider Name: | CHARISSE MCCOTTER |
| Entity Type: | Individual |
| Taxonomy Code: | 246RP1900X |
| Specialty: | Technician, Pathology |
| License Number: | 20-0106Y21 |
Most Important Dates
| Enumeration Date: | 02/28/2024 |
| Last Updated: | 02/28/2024 |
Provider Practice Location
191 DELAURO DR APT M
NEW HAVEN
CT
065116013
Practice Location Phone/Fax
| Phone: | 2039289155 |
| Fax: |
Provider Mailing Location
1204 MAIN ST # 829
BRANFORD
CT
064053787
Provider Mailing Phone/Fax
| Phone: | 2039289155 |
| Fax: |