Individual provider · Type 1 NPI

Marc Landau, PA

Medical Physician Assistant · Wallingford, CT

NPI number 1679524052 Active

Practice location

Gaylord Farms Rd.
Wallingford, CT 06492

Fax (203) 679-3598

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001403 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1679524052

Marc Landau, PA's National Provider Identifier is 1679524052, issued on May 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wallingford, CT. The record was last updated on Jul 13, 2026.