NPI 1598570939 · live from the CMS NPI Registry
Elijah Adams
Physician Assistant in Waterbury, CT. National Provider Identifier 1598570939, active.
NPI record
| NPI | 1598570939 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 64 Robbins St, Waterbury, CT 06708 |
| Practice phone | 269-329-9989 |
| Mailing address | 55 Manorwood Dr, Branford, CT 06405 |
| Enumerated | February 12, 2025 |
| Last updated | April 14, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.