NPI 1922580984 · live from the CMS NPI Registry
Samantha Abraham, PA-C
Physician Assistant, Surgical in New Britain, CT. National Provider Identifier 1922580984, active.
NPI record
| NPI | 1922580984 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 100 Grand St, New Britain, CT 06052 |
| Practice phone | 860-224-5011 |
| Mailing address | 271 Carew St, Springfield, MA 01104 |
| Enumerated | September 5, 2018 |
| Last updated | October 24, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | PA6709 (MA) |
| Physician Assistant, Surgical primary | 363AS0400X | 005881 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.