NPI 1073277166 · live from the CMS NPI Registry
Abner Jefte Arias-Olson
Physician Assistant, Medical in New Haven, CT. National Provider Identifier 1073277166, active.
NPI record
| NPI | 1073277166 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-688-4242 |
| Mailing address | 789 Howard Ave # 3fmp330, New Haven, CT 06519 |
| Enumerated | October 26, 2021 |
| Last updated | May 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Medical primary | 363AM0700X | 5562 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.