Individual provider · Type 1 NPI

Carly Krisavage, PHYSICIAN ASSISTANT

Physician Assistant · Bridgeport, CT

NPI number 1629564729 Active

Practice location

161 Boston Ave
Bridgeport, CT 06610-1662

Call (203) 333-4400 Map

Fax (203) 334-0729

Mailing address

11 Stonefield Dr
Prospect, CT 06712-1744

Other practice locations

  • 1918 Black Rock Tpke, Fairfield, CT 06825-3543 · (203) 583-8400

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4141 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

7 other providers at this address

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About NPI 1629564729

Carly Krisavage, PHYSICIAN ASSISTANT's National Provider Identifier is 1629564729, issued on Jul 2, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bridgeport, CT. The record was last updated on Jan 13, 2020.