Individual provider · Type 1 NPI

Amanda Campbell Ostapoff, PA

Medical Physician Assistant · Middletown, CT

NPI number 1720332331 Active

Practice location

28 Crescent St
Middletown, CT 06457-3654

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	002851 (CT)
Medical Physician Assistant Primary	363AM0700X	002851 (CT)
Surgical Physician Assistant	363AS0400X	002851 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1720332331

Amanda Campbell Ostapoff, PA's National Provider Identifier is 1720332331, issued on Nov 5, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Middletown, CT. The record was last updated on Apr 25, 2016.