NPI 1821219783 · live from the CMS NPI Registry
Susanne Atkins, PA-C
Physician Assistant, Medical in New Haven, CT. National Provider Identifier 1821219783, active.
NPI record
| NPI | 1821219783 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 175 Sherman Avenue, New Haven, CT 06511 |
| Practice phone | 203-789-3721 |
| Mailing address | 655 Reef Road, Fairfield, CT 06824 |
| Enumerated | May 1, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 000410 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.