Active NPIIndividual provider

Annie Liu, PA-C

Physician Assistant, Surgical in Bridgeport, Connecticut

NPI Number1437775913
Practice location
2800 Main St, Bridgeport, CT 06606-4201
Fax
—
Last updated
April 11, 2023

Annie Liu is a Physician Assistant, Surgical based in Bridgeport, CT. Annie Liu practices in Bridgeport, CT and has the professional credentials of PA-C. The NPI Number for Annie Liu is 1437775913 and holds a License No. 025098 (NY). The current practice location address for Annie Liu is 2800 Main St, Bridgeport, CT 06606-4201 and can be reached out via phone at 475-210-3690.

Provider Profile Details

NPI Number
1437775913
Provider Name
Annie Liu
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2800 Main St, Bridgeport, CT 06606-4201
Phone Number
475-210-3690
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2020
Last Update Date
April 11, 2023
Certification Date
April 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2800 Main St
Bridgeport, CT 06606-4201
Zip
06606-4201
Phone Number
475-210-3690
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
2800 Main St
Bridgeport, CT 06606-4201
City
Bridgeport
State
CT
Zip
06606-4201
Phone Number
475-210-3690

License Information

License Number (1)
025098
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
5781
License State (2)
CT
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · 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 Annie Liu, PA-C?

The NPI number of Annie Liu, PA-C is 1437775913. It was assigned on June 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Annie Liu, PA-C?

Annie Liu, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 025098.

Where does Annie Liu, PA-C practice?

The practice location is 2800 Main St, Bridgeport, CT 06606-4201. The office can be reached at 475-210-3690 (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 1437775913 directly on the NPPES registry website.

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