Individual provider · Type 1 NPI

David Lawrence Mingolelli, PA

Medical Physician Assistant · Hartford, CT

NPI number 1619040391 Active

Practice location

80 Seymour Street, Hartford Hospital Emergency Medicine
Hartford, CT 06102-5037

Call (860) 545-0000 Map

Mailing address

PO Box 415933, Hartford Hospital Professional Services
Boston, MA 02241-5933

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X002987 (CT)
Medical Physician Assistant 363AM0700XC0003439 (MD)
Medical Physician Assistant Primary 363AM0700X002987 (CT)
Surgical Physician Assistant 363AS0400X002987 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1619040391

David Lawrence Mingolelli, PA's National Provider Identifier is 1619040391, issued on Nov 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Dec 20, 2013.