Active NPIIndividual provider

Ms. Julie P Gedalecia, PA

Physician Assistant, Medical in Milford, Connecticut

NPI Number1063069748
Practice location
2044 Bridgeport Ave, Milford, CT 06460-4633
Fax
203-878-7043
Last updated
February 11, 2020

Julie Ping Gedalecia is a Physician Assistant, Medical based in Milford, CT. Julie Ping Gedalecia practices in Milford, CT and has the professional credentials of PA. The NPI Number for Julie Ping Gedalecia is 1063069748 and holds a License No. 1063069748 (CT). The current practice location address for Julie Ping Gedalecia is 2044 Bridgeport Ave, Milford, CT 06460-4633 and can be reached out via phone at 203-878-1006 and via fax at 203-878-7043.

Provider Profile Details

NPI Number
1063069748
Provider Name
Julie Ping Gedalecia
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2044 Bridgeport Ave, Milford, CT 06460-4633
Phone Number
203-878-1006
Fax Number
203-878-7043
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
August 19, 2019
Last Update Date
February 11, 2020
Certification Date
February 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2044 Bridgeport Ave
Milford, CT 06460-4633
Zip
06460-4633
Phone Number
203-878-1006
Fax Number
203-878-7043
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
2044 Bridgeport Ave
Milford, CT 06460-4633
City
Milford
State
CT
Zip
06460-4633
Phone Number
203-878-1006
Fax Number
203-878-7043

License Information

License Number (1)
1063069748
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X · Primary
License Number (2)
23.004490
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Julie P Gedalecia, PA?

The NPI number of Ms. Julie P Gedalecia, PA is 1063069748. It was assigned on August 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Julie P Gedalecia, PA?

Ms. Julie P Gedalecia, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 1063069748.

Where does Ms. Julie P Gedalecia, PA practice?

The practice location is 2044 Bridgeport Ave, Milford, CT 06460-4633. The office can be reached at 203-878-1006 (phone) or 203-878-7043 (fax).

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 1063069748 directly on the NPPES registry website.

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