| Doctor Name: | COURTNEY G MOLLER |
| NPI Number: | 1043467855 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | |
| Business Practice Address: | 950 Campbell Ave Gec240 West Haven, CT - 065162770 |
| Business Phone Number: | 2039325711 |
| Business Fax Number: | |
| Mailing Address: | 950 Campbell Ave, Gec 240 WEST HAVEN |
| State: | CT |
| Postal Code: | 065162770 |
| Phone Number: | 2039325711 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2008 |
| NPI Last Update Date: | 10/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |