NPI 1184489130 · live from the CMS NPI Registry
Eden Anonye
Physician Assistant in New Haven, CT. National Provider Identifier 1184489130, active.
NPI record
| NPI | 1184489130 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 100 Church St S Ste A250, New Haven, CT 06519 |
| Practice phone | 203-737-1003 |
| Enumerated | February 19, 2024 |
| Last updated | February 19, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.