Alexander J Ejzak, PA
Physician Assistant in New London, Connecticut
1083860761- Practice location
- 365 Montauk Ave, New London, CT 06320-4700
- Phone
- 860-442-0711
- Fax
- —
- Last updated
- February 26, 2019
Alexander James Ejzak is a Physician Assistant based in New London, CT. Alexander James Ejzak practices in New London, CT and has the professional credentials of PA. The NPI Number for Alexander James Ejzak is 1083860761 and holds a License No. 002130 (CT). The current practice location address for Alexander James Ejzak is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-442-0711.
Provider Profile Details
- NPI Number
- 1083860761
- Provider Name
- Alexander James Ejzak
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 365 Montauk Ave, New London, CT 06320-4700
- Phone Number
- 860-442-0711
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 13, 2008
- Last Update Date
- February 26, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- Connecticut
- Zip
- 06320-4700
- Phone Number
- 860-442-0711
Provider Business Mailing Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- CT
- Zip
- 06320-4700
- Phone Number
- 860-442-0711
License Information
- License Number
- 002130
- 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 Alexander J Ejzak, PA?
The NPI number of Alexander J Ejzak, PA is 1083860761. It was assigned on August 13, 2008 and is currently active in the NPPES registry.
What is the specialty of Alexander J Ejzak, PA?
Alexander J Ejzak, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 002130.
Where does Alexander J Ejzak, PA practice?
The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-442-0711 (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 1083860761 directly on the NPPES registry website.