Individual provider · Type 1 NPI

Joanne Marie Churak, PA-C

Medical Physician Assistant · West Haven, CT

NPI number 1255423232 Active

Practice location

950 Campbell Ave, Renal Section, 111F
West Haven, CT 06516

Fax (203) 937-3455

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000161 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1255423232

Joanne Marie Churak, PA-C's National Provider Identifier is 1255423232, issued on Sep 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Haven, CT. The record was last updated on Jan 13, 2015.