Active NPIIndividual providerSole proprietor

Gianna R Polzella, PHYSICIAN ASSISTANT

Physician Assistant in Bloomfield, Connecticut

NPI Number1154021541
Practice location
699 Cottage Grove RD, Bloomfield, CT 06002-3059
Fax
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Last updated
January 16, 2025

Gianna Rose Polzella is a Physician Assistant based in Bloomfield, CT. Gianna Rose Polzella practices in Bloomfield, CT and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Gianna Rose Polzella is 1154021541 and holds a License No. 5998 (CT). The current practice location address for Gianna Rose Polzella is 699 Cottage Grove RD, Bloomfield, CT 06002-3059 and can be reached out via phone at 860-242-0035.

Provider Profile Details

NPI Number
1154021541
Provider Name
Gianna Rose Polzella
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
699 Cottage Grove RD, Bloomfield, CT 06002-3059
Phone Number
860-242-0035
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 6, 2023
Last Update Date
January 16, 2025
Certification Date
January 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
699 Cottage Grove RD
Bloomfield, CT 06002-3059
Zip
06002-3059
Phone Number
860-242-0035
Bloomfield, CT 06002Get directions →

Provider Business Mailing Address Details

Address
699 Cottage Grove RD
Bloomfield, CT 06002-3059
City
Bloomfield
State
CT
Zip
06002-3059
Phone Number
860-242-0035

License Information

License Number
5998
License State
CT
Taxonomy
Physician Assistant · 363A00000X · Primary

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 Gianna R Polzella, PHYSICIAN ASSISTANT?

The NPI number of Gianna R Polzella, PHYSICIAN ASSISTANT is 1154021541. It was assigned on March 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Gianna R Polzella, PHYSICIAN ASSISTANT?

Gianna R Polzella, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 5998.

Where does Gianna R Polzella, PHYSICIAN ASSISTANT practice?

The practice location is 699 Cottage Grove RD, Bloomfield, CT 06002-3059. The office can be reached at 860-242-0035 (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 1154021541 directly on the NPPES registry website.

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