Individual provider · Type 1 NPI

Stephanie Phoenix, PA-C

Surgical Physician Assistant · New Haven, CT

NPI number 1609663715 Active

Practice location

1450 Chapel St
New Haven, CT 06511-4405

Call (203) 789-3000 Map

Mailing address

12 Merwyn Rd
Wallingford, CT 06492-2235

Other practice locations

  • 20 York St, New Haven, CT 06510-3220 · (203) 688-4242

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X23.007148 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1609663715

Stephanie Phoenix, PA-C's National Provider Identifier is 1609663715, issued on Apr 22, 2025. 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 Jul 23, 2025.