GINA LIDESTRI, PA
Physician Assistant - Medical
Active
Individual
NPI: 1043403868
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 001942 (CT) |
| Physician Assistant - Medical | 363AM0700X | Yes | 001942 (CT) |
Frequently Asked Questions
NPI 1043403868 is the National Provider Identifier for GINA LIDESTRI, PA, a Physician Assistant - Medical provider located in Bristol, CT. This NPI was enumerated on August 24, 2007.
GINA LIDESTRI, PA practices at 41 BREWSTER RD, Bristol, CT 06010.
Quick Facts
- NPI
- 1043403868
- Type
- Individual
- Enumerated
- Aug 24, 2007
- Last Updated
- Jan 21, 2012
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