Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EAST HADDAM MEDICAL ASSOCIATE,PC
Active OrganizationEAST HADDAM MEDICAL ASSOCIATE,PC is a Physician Assistant organization located in MOODUS, Connecticut. NPI 1063472363 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOODUS, CT
Registration Details
- NPI Number
- 1063472363
- Provider Type
- Organization
- NPI Issued
- Mar 23, 2006 (20.388589546552 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
024845 (CT)000457 (CT)
Practice Information
- Address
-
16 WILLIAM F PALMER RDMOODUS, CT, 064691131Browse CT providers · Browse ZIP 06469
- Phone
- 8608731414
- Fax
- 8608733428
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.