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Contact Information

CARLY M MUNIZ
100 GRAND ST
NEW BRITAIN, CT06052-2016
 Phone: 860-224-5675
 Fax: 860-224-5774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CARLY M MUNIZ · (Female)

NPI # 1225484314
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2016
Last updated 03/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 3608
  • MA License # PA6279
Hospital affiliation(s)
  • ROCKVILLE GENERAL HOSPITAL - (Acute Care)
    31 UNION ST
    ROCKVILLE, CT 06066
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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