MS. JULIE PING GEDALECIA (NPI# 1063069748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063069748 |
Entity Type | Individual |
Full Name | MS. JULIE PING GEDALECIA |
Credential | PA |
Practice Address |
2044 Bridgeport Ave Milford CT 06460-4633 |
Practice Telephone | 2038781006 |
Practice Fax Number | 2038787043 |
Mailing Telephone | 2038781006 |
Mailing Fax Number | 2038787043 |
Enumeration Date | 2019-08-19 |
Last Update Date | 2020-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 23.004490 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1063069748 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
141 Canner St, New Haven, CT 065112201 | 5189285645 |
Street Address |
2044 BRIDGEPORT AVE |
City | MILFORD |
State | CT |
Zip Code | 06460-4633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366484123 | Birur G Chandra | Allergy & Immunology | 2044 Bridgeport Ave, Milford, CT 06460-4633 | 2006-06-12 |
1720236367 | John P. Nowicki M.d. P.C. | Internal Medicine | 2044 Bridgeport Ave, Milford, CT 06460-4633 | 2008-09-08 |
1235140799 | Panghsung Wang | Internal Medicine | 2044 Bridgeport Ave, Milford, CT 06460-4633 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
Find all providers in zip 06460 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144768466 | Marissa Nicole Mutzek | Physician Assistant | 105 Blueberry Dr # 90, Milford, PA 18337-9015 | 2017-02-07 |
1003215237 | Jacqueline J Jervis | Physician Assistant | 281 Seaside Ave, Milford, CT 06460-4601 | 2014-08-13 |
1154512374 | Tara Leigh Taylor | Physician Assistant | 1181 N Milford Rd Ste 207, Milford, MI 48381-1061 | 2007-08-05 |
1528037090 | Stephen Eric Cahoon | Physician Assistant | 510 Route 6 and 209 Ste 103, Milford, PA 18337-7615 | 2006-03-16 |
1831180090 | Emily Kay Luttenbacher | Physician Assistant | 1050 Corporate Office Dr, Suite 100, Milford, MI 48381-5009 | 2005-11-04 |
1982121422 | Larissa M Costa | Physician Assistant | 14 Prospect St, Milford, MA 01757-3003 | 2017-08-25 |
1871040071 | Seemin Qureshi | Physician Assistant | 1800 N Milford Rd Ste 100, Milford, MI 48381-1047 | 2016-09-06 |
1427429893 | Meghan Penn | Physician Assistant | 1265 N Milford Rd, Milford, MI 48381-1018 | 2015-10-12 |
1073925848 | Stacie Lynne Umperovitch | Physician Assistant | 14 Armory Rd, Dartmouth Hitchcock - Family Medicine, Milford, NH 03055-3405 | 2014-05-28 |
1972933661 | Charity Amelia Snyder | Physician Assistant | 4580 State Highway 28, Milford, NY 13807-1147 | 2013-11-18 |
Find all providers in MILFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.