Individual provider · Type 1 NPI

Lee J. Venancio, P.A.

Surgical Physician Assistant · New Haven, CT

NPI number 1679605448 Active

Practice location

1450 Chapel St, Department Of Surgery
New Haven, CT 06511-4405

Mailing address

70 Hobson Ave
Hamden, CT 06514-2515

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X001763 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1679605448

Lee J. Venancio, P.A.'s National Provider Identifier is 1679605448, issued on Mar 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2007.