NPI 1730815465 · live from the CMS NPI Registry
Anthony Daniel Angotta, PA-C
Physician Assistant in Hartford, CT. National Provider Identifier 1730815465, active.
NPI record
| NPI | 1730815465 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 282 Washington St, Hartford, CT 06106 |
| Practice phone | 860-545-9000 |
| Mailing address | 35 Asbury Rd, Trumbull, CT 06611 |
| Enumerated | July 26, 2022 |
| Last updated | November 14, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 5785 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.