Unknown Individual – Physician Assistant, NPI 1104903939
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1000, Silver Street, Middletown, Middlesex County, Connecticut, 06457, United States
MIDDLETOWN, CT 064573940
Phone: (860) 262-5000
Type: Location
250, Linden Street, Griswoldville, Wethersfield, Capitol Planning Region, Connecticut, 06109, United States
WETHERSFIELD, CT 061093346
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06457)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Registered Dietitian Or Nutrition Professional | CT | |
| Certified Nurse Midwife (Cnm) | MA | |
| P O D I A T R Y | NY | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| - | IL | |
| - | CT |
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