Individual provider · Type 1 NPI
Loreto Verde, PA
Surgical Physician Assistant · Niantic, CT
NPI number
1053357046
Active
Practice location
11 Arthur Dr, Apt 1 J
Niantic, CT 06357-1234
Mailing address
330 Washington St, Ste 540
Norwich, CT 06360-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 000777 (CT) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Niantic
About NPI 1053357046
Loreto Verde, PA's National Provider Identifier is 1053357046, issued on Jun 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Niantic, CT. The record was last updated on Jul 21, 2022.