Individual provider · Type 1 NPI

Alexis Grace Shaub, PA

Medical Physician Assistant · Trumbull, CT

NPI number 1013439769 Active

Practice location

5520 Park Ave
Trumbull, CT 06611-3463

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3872 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1013439769

Alexis Grace Shaub, PA's National Provider Identifier is 1013439769, issued on Jul 14, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Trumbull, CT. The record was last updated on Mar 25, 2020.