NPI 1891923793 · live from the CMS NPI Registry
Israel Wheeler Andola, P.A.
Physician Assistant, Medical in Norwalk, CT. National Provider Identifier 1891923793, active.
NPI record
| NPI | 1891923793 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 346 Main Ave, Norwalk, CT 06851 |
| Practice phone | 203-846-0005 |
| Mailing address | 204 Wardwell St Unit 5, Stamford, CT 06902 |
| Enumerated | June 30, 2009 |
| Last updated | January 9, 2019 |
| Sole proprietor | Yes |
| Other names | Israel Wheeler |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 013378 (NY) |
| Physician Assistant, Medical primary | 363AM0700X | 2278 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.