Iris B Artin, PA
Physician Assistant in East Hampton, Connecticut
1063061604- Practice location
- 29 W High St, East Hampton, CT 06424-1024
- Phone
- 617-958-5697
- Fax
- —
- Last updated
- June 8, 2023
Iris Ben Artin is a Physician Assistant based in East Hampton, CT. Iris Ben Artin practices in East Hampton, CT and has the professional credentials of PA. The NPI Number for Iris Ben Artin is 1063061604 and holds a License No. 4440 (CT). The current practice location address for Iris Ben Artin is 29 W High St, East Hampton, CT 06424-1024 and can be reached out via phone at 617-958-5697.
Provider Profile Details
- NPI Number
- 1063061604
- Provider Name
- Iris Ben Artin
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 29 W High St, East Hampton, CT 06424-1024
- Phone Number
- 617-958-5697
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Miroslav Jurisic (Former Name)
- Provider Enumeration Date
- September 6, 2019
- Last Update Date
- June 8, 2023
- Certification Date
- June 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 W High St
East Hampton, CT 06424-1024 - City
- East Hampton
- State
- Connecticut
- Zip
- 06424-1024
- Phone Number
- 617-958-5697
Provider Business Mailing Address Details
- Address
- 1 Boston Pl
Boston, MA 02108-4407 - City
- Boston
- State
- MA
- Zip
- 02108-4407
- Phone Number
- 617-953-7243
License Information
- License Number (1)
- 4440
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 023789
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 25MP00536100
- License State (3)
- NJ
- Taxonomy (3)
- 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 Iris B Artin, PA?
The NPI number of Iris B Artin, PA is 1063061604. It was assigned on September 6, 2019 and is currently active in the NPPES registry.
What is the specialty of Iris B Artin, PA?
Iris B Artin, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 4440.
Where does Iris B Artin, PA practice?
The practice location is 29 W High St, East Hampton, CT 06424-1024. The office can be reached at 617-958-5697 (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 1063061604 directly on the NPPES registry website.