Individual provider · Type 1 NPI

Vivian Wiater, PA-C

Surgical Physician Assistant · New Haven, CT

NPI number 1174908446 Active

Practice location

333 Cedar St, Ste Tmp 4
New Haven, CT 06510-3206

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X3393 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1174908446

Vivian Wiater, PA-C's National Provider Identifier is 1174908446, issued on Jul 28, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Haven, CT. The record was last updated on Apr 24, 2017.