Individual provider · Type 1 NPI

Marissa Ann Sylvester Perez, PA

Surgical Physician Assistant · New London, CT

NPI number 1508429275 Active

Practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

24 Candlewood Dr
Greenville, RI 02828-1818

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4559 (CT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1508429275

Marissa Ann Sylvester Perez, PA's National Provider Identifier is 1508429275, issued on Apr 18, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New London, CT. The record was last updated on Feb 6, 2026.