NPI 1396490330 · live from the CMS NPI Registry
Nejem Aousadj, Physician Assistant
Physician Assistant in Fairfield, CT. National Provider Identifier 1396490330, active.
NPI record
| NPI | 1396490330 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1918 Black Rock Tpke, Fairfield, CT 06825 |
| Practice phone | 203-583-8400 |
| Mailing address | 80 Weber Ave Apt 5, Bridgeport, CT 06610 |
| Enumerated | February 17, 2022 |
| Last updated | February 17, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 5586 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.