Miranda Polaski, PA
Physician Assistant in Southington, Connecticut
1003307554- Practice location
- 81 Meriden Ave, Southington, CT 06489
- Phone
- 860-276-5000
- Fax
- —
- Last updated
- August 22, 2018
Miranda Polaski is a Physician Assistant based in Southington, CT. Miranda Polaski practices in Southington, CT and has the professional credentials of PA. The NPI Number for Miranda Polaski is 1003307554 and holds a License No. 4140 (CT). The current practice location address for Miranda Polaski is 81 Meriden Ave, Southington, CT 06489 and can be reached out via phone at 860-276-5000.
Provider Profile Details
- NPI Number
- 1003307554
- Provider Name
- Miranda Polaski
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 81 Meriden Ave, Southington, CT 06489
- Phone Number
- 860-276-5000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 21, 2018
- Last Update Date
- August 22, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 81 Meriden Ave
Southington, CT 06489 - City
- Southington
- State
- Connecticut
- Zip
- 06489
- Phone Number
- 860-276-5000
Provider Business Mailing Address Details
- Address
- 81 Meriden Ave
Southington, CT 06489-3268 - City
- Southington
- State
- CT
- Zip
- 06489-3268
License Information
- License Number
- 4140
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miranda Polaski, PA?
The NPI number of Miranda Polaski, PA is 1003307554. It was assigned on May 21, 2018 and is currently active in the NPPES registry.
What is the specialty of Miranda Polaski, PA?
Miranda Polaski, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 4140.
Where does Miranda Polaski, PA practice?
The practice location is 81 Meriden Ave, Southington, CT 06489. The office can be reached at 860-276-5000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003307554 directly on the NPPES registry website.