Individual provider · Type 1 NPI

Julia C. Gotthardt, PA-C

Medical Physician Assistant · New Haven, CT

NPI number 1942783733 Active

Practice location

20 York St, CB-2041
New Haven, CT 06510-3220

Fax (203) 688-4740

Mailing address

231 Rocky Mountain Rd
Southbury, CT 06488-2727

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X4205 (CT)
Medical Physician Assistant Primary 363AM0700X4205 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1942783733

Julia C. Gotthardt, PA-C's National Provider Identifier is 1942783733, issued on Sep 8, 2018. 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 Jun 5, 2019.