Individual provider · Type 1 NPI

Ashley Durchhalter, PA-C

Medical Physician Assistant · Bridgeport, CT

NPI number 1649653619 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Call (203) 384-3000 Map

Mailing address

998 Third Ave
Franklin Square, NY 11010-1846

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X23.003378 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1649653619

Ashley Durchhalter, PA-C's National Provider Identifier is 1649653619, issued on Jul 8, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 8, 2015.