Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY KRISAVAGE, PHYSICIAN ASSISTANT
ActiveCARLY KRISAVAGE, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in BRIDGEPORT, Connecticut. NPI 1629564729 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1629564729
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2018 (8.0759540956917 yrs)
- Last Updated
- Jan 13, 2020
- License
-
4141 (CT)
Practice Information
- Address
-
161 BOSTON AVEBRIDGEPORT, CT, 066101662Browse CT providers · Browse ZIP 06610
- Phone
- 2033334400
- Fax
- 2033340729
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| JEFFREY MONTANO | PA. | 1447252192 |
| GARY SPINNER | PA | 1891760526 |
| BRUCE C GUSSIN | P.A. | 1326017211 |
| SHINU KURIAKOSE | PA-C | 1902875289 |
| RICHARD S MANSFIELD | PA-C | 1770546590 |
| GARY D COOK | PA-C | 1619931086 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.