Individual provider · Type 1 NPI

Eileen Mary Tichy, PAC RD

Medical Physician Assistant · New Haven, CT

NPI number 1699851568 Active

Practice location

2 Church St S, Suite 401
New Haven, CT 06519-1717

Call (203) 785-5192 Map

Mailing address

155 Talcott Rd
Guilford, CT 06437-5001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001042 (CT)
Registered Dietitian 133V00000XPENDING (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1699851568

Eileen Mary Tichy, PAC RD's National Provider Identifier is 1699851568, issued on Oct 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Apr 1, 2011.