Individual provider · Type 1 NPI

Colleen Booth, PA-C

Physician Assistant · Manchester, CT

NPI number 1972022135 Active

Practice location

71 Haynes St
Manchester, CT 06040-4131

Call (860) 646-1222 Map

Mailing address

104 Pitkin St
Manchester, CT 06040-4456

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X3964 (CT)
Physician Assistant Primary 363A00000X3964 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972022135

Colleen Booth, PA-C's National Provider Identifier is 1972022135, issued on Sep 19, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Manchester, CT. The record was last updated on Oct 17, 2018.