Ms. CHARLENE ROBERTA THOMPSON CRISS PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1760469514- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 15 MOHEGAN AVE USCG ACADEMY CLINIC, NEW LONDON, CT, 06320
- Phone
- (860) 701-6737
- Fax
- (860) 701-6475
Specialties & Taxonomies
Physician Assistant, Medical
License: MN #1710
Physician Assistant, Medical
License: CT #001831
Physician Assistant, Medical
Primary License: NJ #MP00120900