Individual provider · Type 1 NPI

Arielle Deane

Surgical Physician Assistant · Bridgeport, CT

NPI number 1962040808 Active

Practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X7691 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1962040808

Arielle Deane's National Provider Identifier is 1962040808, issued on Dec 11, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bridgeport, CT. The record was last updated on Jun 11, 2026.