NPI 1043101140 · live from the CMS NPI Registry
Maia Annunziato, PA
Physician Assistant, Medical in Hartford, CT. National Provider Identifier 1043101140, active.
NPI record
| NPI | 1043101140 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 114 Woodland St, Hartford, CT 06105 |
| Practice phone | 860-714-4000 |
| Mailing address | 20 Winchester Dr, North Haven, CT 06473 |
| Enumerated | July 15, 2025 |
| Last updated | July 1, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 7313 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.