Individual provider · Type 1 NPI

Elana Chloe McTavish, PA-C

Surgical Physician Assistant · Bridgeport, CT

NPI number 1962921023 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2870

Mailing address

122 Meadow Hills Dr
Guilford, CT 06437-1253

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X22237083 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1962921023

Elana Chloe McTavish, PA-C's National Provider Identifier is 1962921023, issued on Sep 10, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bridgeport, CT. The record was last updated on Nov 5, 2024.