Individual provider · Type 1 NPI
Jason William Ptak, PA-C
Medical Physician Assistant · Hartford, CT
NPI number
1437566338
Active
Practice location
500 Albany Ave
Hartford, CT 06120-2508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant | 363AM0700X | PA-1993 (ID) |
| Medical Physician Assistant Primary | 363AM0700X | 005617 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1437566338
Jason William Ptak, PA-C's National Provider Identifier is 1437566338, issued on Jul 13, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Mar 13, 2023.