Wellformed AI

NPI 1902659337 · live from the CMS NPI Registry

Christian Aguilar, PA-C, RDN

Physician Assistant in Willimantic, CT. National Provider Identifier 1902659337, active.

NPI record

NPI1902659337 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location49 Gifford Ave, Willimantic, CT 06226
Practice phone860-634-1821
EnumeratedApril 8, 2024
Last updatedApril 9, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.