NPI 1508865585 · live from the CMS NPI Registry
Jude J Ade, PA
Physician Assistant in Farmington, CT. National Provider Identifier 1508865585, active.
NPI record
| NPI | 1508865585 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 263 Farmington Ave, Farmington, CT 06030 |
| Practice phone | 860-679-2588 |
| Mailing address | 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030 |
| Enumerated | July 20, 2005 |
| Last updated | October 7, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 000754 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.