Active NPIIndividual provider

Stacie J Brzoska, PA

Physician Assistant, Surgical in Wakefield, Rhode Island

NPI Number1558649822
Practice location
1 High St, Wakefield, RI 02879-3103
Fax
401-782-6810
Last updated
August 3, 2011

Stacie J Brzoska is a Physician Assistant, Surgical based in Wakefield, RI. Stacie J Brzoska practices in Wakefield, RI and has the professional credentials of PA. The NPI Number for Stacie J Brzoska is 1558649822 and holds a License No. PA00600 (RI). The current practice location address for Stacie J Brzoska is 1 High St, Wakefield, RI 02879-3103 and can be reached out via phone at 401-789-1422 and via fax at 401-782-6810.

Provider Profile Details

NPI Number
1558649822
Provider Name
Stacie J Brzoska
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 High St, Wakefield, RI 02879-3103
Phone Number
401-789-1422
Fax Number
401-782-6810
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2011
Last Update Date
August 3, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 High St
Wakefield, RI 02879-3103
Zip
02879-3103
Phone Number
401-789-1422
Fax Number
401-782-6810
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
1 High St
Wakefield, RI 02879-3103
City
Wakefield
State
RI
Zip
02879-3103
Phone Number
401-789-1422
Fax Number
401-782-6810

License Information

License Number
PA00600
License State
RI
Taxonomy
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 Stacie J Brzoska, PA?

The NPI number of Stacie J Brzoska, PA is 1558649822. It was assigned on August 3, 2011 and is currently active in the NPPES registry.

What is the specialty of Stacie J Brzoska, PA?

Stacie J Brzoska, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in RI under license number PA00600.

Where does Stacie J Brzoska, PA practice?

The practice location is 1 High St, Wakefield, RI 02879-3103. The office can be reached at 401-789-1422 (phone) or 401-782-6810 (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 1558649822 directly on the NPPES registry website.

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