Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORY R. DEGIACOMO, PA-C
ActiveCORY R. DEGIACOMO, PA-C is a Physician Assistant healthcare provider located in MANCHESTER, Connecticut. NPI 1649712894 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MANCHESTER, CT
Registration Details
- NPI Number
- 1649712894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2016 (9.7699018166541 yrs)
- Last Updated
- Jun 5, 2019
- Licenses
-
4461 (CT)001079 (CT)
Practice Information
- Address
-
71 HAYNES STMANCHESTER, CT, 060404131Browse CT providers · Browse ZIP 06040
- Phone
- 8606885774
- Fax
- 8606886403
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Athletic Trainer
Other Physician Assistant Providers in MANCHESTER, CT
| Name | Credential | NPI |
|---|---|---|
| LANCELOT P MORGAN | PA | 1265430219 |
| DANIEL WALSH | PA | 1780650051 |
| DANIELLE L HELM | PA | 1457329500 |
| MRS. ELIZABETH A WALSH | PA-C | 1215998216 |
| MR. DAVID C WOODWORTH | PAC | 1043269459 |
| MAUREEN ROBERT | P.A.-C | 1942398276 |
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.