Unknown Individual – Medical Physician Assistant, NPI 1982187175
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
84, Coventry Lane, Trumbull, Fairfield County, Connecticut, 06611, United States
TRUMBULL, CT 066111055
Phone: (203) 209-4567
Fax: (203) 268-5179
Type: Mailing
2979, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States
BRIDGEPORT, CT 066064284
Phone: (203) 683-5100
Type: Location
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| - | NY | |
| Physician Assistant | NY | |
| - | SC | |
| Physician Assistant | NY | |
| - | NY | |
| Nurse Practitioner | NV | |
| - | CT |
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