Samantha Mirra
NPI #1568201259 in Norwich, Connecticut
Provider Information
- NPI Number
- 1568201259
- Entity Type
- Individual
- Name
- Samantha Mirra
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 22, 2024
- Last Updated
- May 22, 2024
Practice Location
- Address
- 326 WASHINGTON ST
- City
- Norwich
- State
- Connecticut
- ZIP Code
- 06360-2740
- Phone
- (860) 889-8331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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