Individual provider · Type 1 NPI

Amanda Marie Monfalcone, PA-C

Surgical Physician Assistant · Middletown, CT

NPI number 1790403855 Active

Practice location

512 Saybrook Rd Ste 100
Middletown, CT 06457-4788

Call (860) 347-7636 Map

Fax (860) 894-1894

Mailing address

5 High Ridge Park Fl 2
Stamford, CT 06905-1332

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X000692771 (OH)
Surgical Physician Assistant Primary 363AS0400X6527 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1790403855

Amanda Marie Monfalcone, PA-C's National Provider Identifier is 1790403855, issued on Aug 16, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Middletown, CT. The record was last updated on Apr 22, 2024.