Individual provider · Type 1 NPI

Jason D. Andrus, PA-C

Surgical Physician Assistant · Meriden, CT

NPI number 1104808369 Active

Practice location

435 Lewis Ave
Meriden, CT 06451-2101

Call (833) 203-7523 Map

Other practice locations

  • 84 N Main St Bldg 2, Branford, CT 06405-3061 · (203) 483-2024

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1011 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1104808369

Jason D. Andrus, PA-C's National Provider Identifier is 1104808369, issued on Nov 15, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Meriden, CT. The record was last updated on Aug 7, 2025.