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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GINA F LIDESTRI, PA

Active

GINA F LIDESTRI, PA is a Medical Physician Assistant healthcare provider located in BRISTOL, Connecticut. NPI 1043403868 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BRISTOL, CT

Registration Details

NPI Number
1043403868
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2007 (18.933424284585 yrs)
Last Updated
Jan 21, 2012
Licenses
001942 (CT)
001942 (CT)

Practice Information

Address
41 BREWSTER RD
BRISTOL, CT, 060105161
Browse CT providers · Browse ZIP 06010
Phone
8605853313
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BRISTOL, CT

Name Credential NPI
MR. MARK TABAKA PA-C 1457353005
MS. DOREEN A. RACKLIFFE PA-C 1710965397
ANTONIO SANTORO PA 1124051750
RHONDA FELICIA-ANN CERRITELLI PA 1184641995
ANNA HOUSMAN P.A.C. 1609161694
MR. JARET TERRELL WILLIAMS PA-C 1427486380
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.