person
Joseph M Slater, PA
Medical Physician Assistant in Madison, Connecticut
NPI 1457456980

Joseph M Slater is a Medical Physician Assistant based in Madison, CT and is specialized in Medical. Joseph M Slater practices in Madison, CT and has the professional credentials of PA. The NPI Number for Joseph M Slater is 1457456980 and holds a License No. 000090 (Connecticut).

The current practice location address for Joseph M Slater is 1353 Boston Post Rd, Madison, CT and can be reached out via phone at 203-245-4933 and via fax at 203-245-4399.

Location: 1353 Boston Post Rd, Madison, CT, 06443-3445
person
Provider Profile Details
NPI Number
1457456980
Provider Name
Joseph M Slater
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1353 Boston Post Rd, Madison, CT, 06443-3445
Phone Number
203-245-4933
Fax Number
203-245-4399
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
706112 01 CT CONNECTICARE
290000090CT01 01 CT ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
1353 Boston Post Rd
City
State
Zip
06443-3445
Phone Number
203-245-4933
Fax Number
203-245-4399
person
Provider Business Mailing Address Details
Address
1353 Boston Post Rd
City
State
Zip
06443-3445
Phone Number
203-245-4933
Fax Number
203-245-4399
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000090 (Connecticut)
Definition
Definition to come...
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