Individual provider · Type 1 NPI

Amber Eboni Fatima McDonald, PA

Surgical Physician Assistant · Greenwich, CT

NPI number 1194024299 Active

Practice location

6 Greenwich Office Park
Greenwich, CT 06831-5151

Fax (203) 618-1721

Mailing address

5 High Ridge Park, Fl 2
Stamford, CT 06905-1332

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9105797 (FL)
Physician Assistant 363A00000X1079 (NH)
Surgical Physician Assistant 363AS0400X014676 (NY)
Surgical Physician Assistant Primary 363AS0400X5523 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1194024299

Amber Eboni Fatima McDonald, PA's National Provider Identifier is 1194024299, issued on Mar 15, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Greenwich, CT. The record was last updated on Oct 31, 2024.