Organization · Type 2 NPI

East Haddam Medical Associate,pc

Physician Assistant · Moodus, CT

NPI number 1063472363 Active

Practice location

16 William F Palmer Rd
Moodus, CT 06469-1131

Fax (860) 873-3428

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X024845 (CT)
Physician Assistant Primary 363A00000X000457 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

About NPI 1063472363

East Haddam Medical Associate,pc's National Provider Identifier is 1063472363, issued on Mar 23, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Moodus, CT. The record was last updated on Sep 11, 2025.