Individual provider · Type 1 NPI
Page Waller, P.A.
Medical Physician Assistant · New Milford, CT
NPI number
1467547356
Active
Practice location
219 Kent Rd
New Milford, CT 06776-5528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 000492 (CT) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in New Milford
About NPI 1467547356
Page Waller, P.A.'s National Provider Identifier is 1467547356, issued on Oct 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Milford, CT. The record was last updated on Jul 8, 2007.