Individual provider · Type 1 NPI

Tito Anthony Wiltsie, PA-C

Medical Physician Assistant · Avon, CT

NPI number 1669171807 Active

Practice location

385 W Main St
Avon, CT 06001-4357

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X6050 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1669171807

Tito Anthony Wiltsie, PA-C's National Provider Identifier is 1669171807, issued on Feb 27, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Avon, CT. The record was last updated on Mar 27, 2023.