Individual provider · Type 1 NPI
Aimee J. Criscuolo Beck, P.A.
Medical Physician Assistant · Groton, CT
NPI number
1124122650
Active
Practice location
481 Gold Star Hwy Ste 100
Groton, CT 06340-6702
Fax (860) 405-2140
Mailing address
420 Saybrook Rd
Middletown, CT 06457-4747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 000925 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1124122650
Aimee J. Criscuolo Beck, P.A.'s National Provider Identifier is 1124122650, issued on Sep 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Groton, CT. The record was last updated on Nov 4, 2019.