Individual provider · Type 1 NPI

Alicia D. Funderburk, PA

Surgical Physician Assistant · Norwalk, CT

NPI number 1285310508 Active

Practice location

34 Maple St
Norwalk, CT 06850-3894

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X6321 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1285310508

Alicia D. Funderburk, PA's National Provider Identifier is 1285310508, issued on Jun 22, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Norwalk, CT. The record was last updated on Oct 28, 2023.