Individual provider · Type 1 NPI

Jacob Moninghoff

Surgical Physician Assistant · Hartford, CT

NPI number 1669012449 Active

Practice location

80 Seymour St
Hartford, CT 06106-3315

Call (610) 984-4125 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1669012449

Jacob Moninghoff's National Provider Identifier is 1669012449, issued on Jan 9, 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 Apr 19, 2021.