Active NPIIndividual provider

Jillian A Perez, PA-C

Physician Assistant in East Haven, Connecticut

NPI Number1265691620
Practice location
205 Main St, East Haven, CT 06512-3003
Fax
203-466-5075
Last updated
November 29, 2016

Jillian Anderson Perez is a Physician Assistant based in East Haven, CT. Jillian Anderson Perez practices in East Haven, CT and has the professional credentials of PA-C. The NPI Number for Jillian Anderson Perez is 1265691620 and holds a License No. 002092 (CT). The current practice location address for Jillian Anderson Perez is 205 Main St, East Haven, CT 06512-3003 and can be reached out via phone at 203-466-5070 and via fax at 203-466-5075.

Provider Profile Details

NPI Number
1265691620
Provider Name
Jillian Anderson Perez
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
205 Main St, East Haven, CT 06512-3003
Phone Number
203-466-5070
Fax Number
203-466-5075
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2008
Last Update Date
November 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
205 Main St
East Haven, CT 06512-3003
Zip
06512-3003
Phone Number
203-466-5070
Fax Number
203-466-5075
East Haven, CT 06512Get directions →

Provider Business Mailing Address Details

Address
205 Main St
East Haven, CT 06512-3003
City
East Haven
State
CT
Zip
06512-3003
Phone Number
203-466-5070
Fax Number
203-466-5075

License Information

License Number
002092
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 Jillian A Perez, PA-C?

The NPI number of Jillian A Perez, PA-C is 1265691620. It was assigned on June 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Jillian A Perez, PA-C?

Jillian A Perez, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 002092.

Where does Jillian A Perez, PA-C practice?

The practice location is 205 Main St, East Haven, CT 06512-3003. The office can be reached at 203-466-5070 (phone) or 203-466-5075 (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 1265691620 directly on the NPPES registry website.

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