NPI 1851058291 · live from the CMS NPI Registry
Christine Aigbogun, PA
Physician Assistant in Hartford, CT. National Provider Identifier 1851058291, active.
NPI record
| NPI | 1851058291 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 21 Grand St, Hartford, CT 06106 |
| Practice phone | 860-550-7500 |
| Mailing address | 967 Asylum Ave Apt 11q, Hartford, CT 06105 |
| Enumerated | November 19, 2021 |
| Last updated | November 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 5420 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.