Individual provider · Type 1 NPI

Katie Roach, PA-C

Surgical Physician Assistant · Hartford, CT

NPI number 1376852947 Active

Practice location

114 Woodland St, Department Of Surgery
Hartford, CT 06105-1208

Call (860) 714-5237 Map

Fax (860) 714-8097

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X002468 (CT)
Surgical Physician Assistant Primary 363AS0400X002468 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1376852947

Katie Roach, PA-C's National Provider Identifier is 1376852947, issued on Sep 30, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Nov 25, 2015.