NPI 1619406675 · live from the CMS NPI Registry
Alexander Ashe
Physician Assistant, Medical in Avon, CT. National Provider Identifier 1619406675, active.
NPI record
| NPI | 1619406675 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 385 W Main St, Avon, CT 06001 |
| Practice phone | 860-696-2150 |
| Mailing address | 1290 Silas Deane Hwy, Wethersfield, CT 06109 |
| Enumerated | June 5, 2017 |
| Last updated | June 5, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.