Unknown Individual – Physician Assistant, NPI 1326128372
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2828, Bristol Road, Pemaquid, Lincoln County, Maine, 04554, United States
BRISTOL, CT 060112828
Phone: (860) 585-3906
Fax: (860) 585-3907
Type: Mailing
539, Farmington Avenue, Bristol, Hartford County, Connecticut, 06010, United States
BRISTOL, CT 060103931
Phone: (860) 314-6046
Fax: (860) 314-6047
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 06011)
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