Individual provider · Type 1 NPI

Elizabeth Pensabene, PA-C

Surgical Physician Assistant · Hartford, CT

NPI number 1639708118 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

169 Knollwood Dr
Wallingford, CT 06492-2997

Other practice locations

  • 100 E Lancaster Ave, Wynnewood, PA 19096-3450 · (484) 476-1000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA065281 (PA)
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1639708118

Elizabeth Pensabene, PA-C's National Provider Identifier is 1639708118, issued on Apr 6, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Jan 25, 2024.