Individual provider · Type 1 NPI

Nina Marie Carusillo, PA-C

Surgical Physician Assistant · New Haven, CT

NPI number 1548424971 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-7992 Map

Fax (203) 688-7736

Mailing address

300 George St, Fl 6
New Haven, CT 06511-6624

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X001028 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1548424971

Nina Marie Carusillo, PA-C's National Provider Identifier is 1548424971, issued on Jul 15, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Haven, CT. The record was last updated on Apr 20, 2016.