Individual provider · Type 1 NPI
Anja Summers Panetta, PA
Surgical Physician Assistant · Avon, CT
NPI number
1083866776
Active
Practice location
30 West Avon Road, Suite E
Avon, CT 06001-4275
Fax (860) 678-0036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 003080 (CT) |
| Surgical Physician Assistant Primary | 363AS0400X | 003080 (CT) |
| Medical Physician Assistant | 363AM0700X | 012881 (NY) |
| Medical Physician Assistant | 363AM0700X | 003080 (CT) |
Surgical Physician Assistant: Definition to come...
4 other providers at this address
Other surgical physician assistant providers in Avon
About NPI 1083866776
Anja Summers Panetta, PA's National Provider Identifier is 1083866776, issued on Oct 14, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Avon, CT. The record was last updated on Aug 2, 2021.