Individual provider · Type 1 NPI

Johanna Laine D'addario, PA-C

Medical Physician Assistant · New Haven, CT

NPI number 1992940266 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-2615 Map

Mailing address

24 Timberline Dr
Farmington, CT 06032-1744

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X2578 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1992940266

Johanna Laine D'addario, PA-C's National Provider Identifier is 1992940266, issued on Dec 15, 2008. 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 Dec 7, 2022.