Active NPIIndividual provider

Michelle Grosso, PHYSICIAN ASSISTANT

Physician Assistant, Surgical in Danbury, Connecticut

NPI Number1629345053
Practice location
107 Newtown RD Ste 2C, Danbury, CT 06810
Fax
203-730-4162
Last updated
August 14, 2018

Michelle Grosso is a Physician Assistant, Surgical based in Danbury, CT. Michelle Grosso practices in Danbury, CT and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Michelle Grosso is 1629345053 and holds a License No. 001966 (CT). The current practice location address for Michelle Grosso is 107 Newtown RD Ste 2C, Danbury, CT 06810 and can be reached out via phone at 203-791-9661 and via fax at 203-730-4162.

Provider Profile Details

NPI Number
1629345053
Provider Name
Michelle Grosso
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
107 Newtown RD Ste 2C, Danbury, CT 06810
Phone Number
203-791-9661
Fax Number
203-730-4162
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
November 30, 2011
Last Update Date
August 14, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Newtown RD Ste 2C
Danbury, CT 06810
Zip
06810
Phone Number
203-791-9661
Fax Number
203-730-4162
Danbury, CT 06810Get directions →

Provider Business Mailing Address Details

Address
107 Newtown RD Ste 2C
Danbury, CT 06810-4151
City
Danbury
State
CT
Zip
06810-4151
Phone Number
203-791-9661
Fax Number
203-730-4162

License Information

License Number
001966
License State
CT
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 Michelle Grosso, PHYSICIAN ASSISTANT?

The NPI number of Michelle Grosso, PHYSICIAN ASSISTANT is 1629345053. It was assigned on November 30, 2011 and is currently active in the NPPES registry.

What is the specialty of Michelle Grosso, PHYSICIAN ASSISTANT?

Michelle Grosso, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 001966.

Where does Michelle Grosso, PHYSICIAN ASSISTANT practice?

The practice location is 107 Newtown RD Ste 2C, Danbury, CT 06810. The office can be reached at 203-791-9661 (phone) or 203-730-4162 (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 1629345053 directly on the NPPES registry website.

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