Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN JOSEPH PENDERGAST, PA-C
ActiveMR. JOHN JOSEPH PENDERGAST, PA-C is a Medical Physician Assistant healthcare provider located in BROOKFIELD, Connecticut. NPI 1902962160 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BROOKFIELD, CT
Registration Details
- NPI Number
- 1902962160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2006 (19.589772443425 yrs)
- Last Updated
- Jul 8, 2007
- License
-
000219 (CT)
Practice Information
- Address
-
246 FEDERAL RDUNIT D-12BROOKFIELD, CT, 068042647Browse CT providers · Browse ZIP 06804
- Phone
- 2037753290
- Fax
- 2037756970
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BROOKFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| MS. LYNN HIGGINS | PAC | 1922053677 |
| MARLO HERRICK | PA-C | 1881778892 |
| MS. EUGENIA ANN CORRIERO | PA-C | 1639216427 |
| JULIE ANN HIROKAWA | PA-C | 1356502231 |
| MR. DOUGLAS LEONARD KUGEL | P.A.-C | 1558678433 |
| MS. KATE ELLEN KREMPASKY | PA-C | 1629499157 |
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.