NPI 1487088241 · live from the CMS NPI Registry
Stephanie Saal Aviles, PA-C
Physician Assistant in Enfield, CT. National Provider Identifier 1487088241, active.
NPI record
| NPI | 1487088241 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | Enfield Medical Associates, 701 Enfield Street, Enfield, CT 06082 |
| Practice phone | 860-741-6058 |
| Mailing address | Springfield Medical Associates, INC, 2150 Main Street, Springfield, MA 01104 |
| Enumerated | August 29, 2013 |
| Last updated | December 7, 2022 |
| Sole proprietor | No |
| Other names | Stephanie Aviles |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA-4817 (MA) |
| Physician Assistant | 363A00000X | PA4817 (MA) |
| Physician Assistant primary | 363A00000X | 5910 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.