MICHAEL N LUBERTI PA
Physician Assistant


Address: 18 Inwood Rd., Woodbridge, CT 06525

MICHAEL N LUBERTI PA (Credential# 743352) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.

Business Overview

MICHAEL N LUBERTI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001603. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 18 Inwood Rd., Woodbridge, CT 06525. The current status is active.

Basic Information

Licensee Name MICHAEL N LUBERTI PA
Credential ID 743352
Credential Number 23.001603
Credential Type Physician Assistant
Business Address 18 Inwood Rd.
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-03-07
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-02

Other licenses

ID Credential Code Credential Type Issue Term Status
399443 CSP.0037192 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-24 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 18 Inwood Rd.
City Woodbridge
State CT
Zip Code 06525

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Linda A Starace-colabella 895 Baldwin Rd, Woodbridge, CT 06525 Physician/surgeon 2020-08-01 ~ 2021-07-31
Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
Marianne L Dexter 37 Acorn Hill Rd, Woodbridge, CT 06525 Registered Nurse 2020-08-01 ~ 2021-07-31
Debra G Wayne 94 Maple Vale Drive, Woodbridge, CT 06525 Psychologist 2020-09-01 ~ 2021-08-31
Timothy Michael Carney 1119 Racebrook Road, Woodbridge, CT 06525 Emergency Medical Technician 2016-08-19 ~ 2020-03-31
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Competitor

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City Woodbridge
Zip Code 06525
License Type Physician Assistant
License Type + County Physician Assistant + Woodbridge

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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