Taylor Del Viscovo, PA
Physician Assistant in Groton, Connecticut
1518788561- Practice location
- 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324
- Phone
- 860-694-4123
- Fax
- —
- Last updated
- February 18, 2026
Taylor Del Viscovo is a Physician Assistant based in Groton, CT. Taylor Del Viscovo practices in Groton, CT and has the professional credentials of PA. The NPI Number for Taylor Del Viscovo is 1518788561 and holds a License No. 7032 (CT). The current practice location address for Taylor Del Viscovo is 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324 and can be reached out via phone at 860-694-4123.
Provider Profile Details
- NPI Number
- 1518788561
- Provider Name
- Taylor Del Viscovo
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324
- Phone Number
- 860-694-4123
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 22, 2024
- Last Update Date
- February 18, 2026
- Certification Date
- February 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Wahoo Ave Bldg 449
Groton, CT 06349-2324 - City
- Groton
- State
- Connecticut
- Zip
- 06349-2324
- Phone Number
- 860-694-4123
Provider Business Mailing Address Details
- Address
- 2510 Seaton Park
Montgomery, AL 36116-7251 - City
- Montgomery
- State
- AL
- Zip
- 36116-7251
- Phone Number
- 661-858-4467
License Information
- License Number
- 7032
- 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 Taylor Del Viscovo, PA?
The NPI number of Taylor Del Viscovo, PA is 1518788561. It was assigned on October 22, 2024 and is currently active in the NPPES registry.
What is the specialty of Taylor Del Viscovo, PA?
Taylor Del Viscovo, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 7032.
Where does Taylor Del Viscovo, PA practice?
The practice location is 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324. The office can be reached at 860-694-4123 (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 1518788561 directly on the NPPES registry website.