NPI 1063945244 · live from the CMS NPI Registry
Jodi Ambler
Physician Assistant in New Haven, CT. National Provider Identifier 1063945244, active.
NPI record
| NPI | 1063945244 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-688-4242 |
| Mailing address | 430 E 63rd St Apt 7d, New York, NY 10065 |
| Enumerated | April 5, 2017 |
| Last updated | May 26, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 3798 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.