Individual provider · Type 1 NPI

Dorothy Caudullo Chmiel, PA

Medical Physician Assistant · Hartford, CT

NPI number 1174924617 Active

Practice location

80 Seymour St
Hartford, CT 06102

Other practice locations

  • 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 · (707) 547-4608
  • 101 Page St, New Bedford, MA 02740-3464 · (508) 997-1515

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X55698 (CA)
Surgical Physician Assistant 363AS0400X003257 (CT)
Medical Physician Assistant Primary 363AM0700X003257 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1174924617

Dorothy Caudullo Chmiel, PA's National Provider Identifier is 1174924617, issued on Sep 15, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Dec 1, 2022.