Individual provider · Type 1 NPI

Ivan M. Rosas, PA-C

Physician Assistant · Bridgeport, CT

NPI number 1316776222 Active

Practice location

2979 Main St
Bridgeport, CT 06606-4284

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6913 (CT)
Physician Assistant 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1316776222

Ivan M. Rosas, PA-C's National Provider Identifier is 1316776222, issued on Jul 29, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bridgeport, CT. The record was last updated on Jan 29, 2025.