Individual provider · Type 1 NPI

Michael J. Nolan, PA

Surgical Physician Assistant · Waterbury, CT

NPI number 1386664787 Active

Practice location

56 Franklin St
Waterbury, CT 06706-1253

Call (203) 709-6360 Map

Fax (203) 709-5118

Other practice locations

  • 263 Farmington Ave, Farmington, CT 06030-8063 · (860) 679-8080
  • 595 Straits Tpke, Watertown, CT 06795-3393 · (844) 482-7285

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1644 (CT)
Surgical Physician Assistant Primary 363AS0400X001644 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1386664787

Michael J. Nolan, PA's National Provider Identifier is 1386664787, issued on Jul 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waterbury, CT. The record was last updated on Jul 13, 2026.