Individual provider · Type 1 NPI

Petagay O'Connor, PA

Medical Physician Assistant · Newtown, CT

NPI number 1871769166 Active

Practice location

266 S Main St
Newtown, CT 06470-6706

Call (203) 270-9000 Map

Mailing address

2928 Main St Ste 101
Glastonbury, CT 06033-1007

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X021544 (NY)
Medical Physician Assistant Primary 363AM0700X3035 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1871769166

Petagay O'Connor, PA's National Provider Identifier is 1871769166, issued on May 6, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newtown, CT. The record was last updated on Feb 13, 2019.