Mr. Charles Severo, PA
Physician Assistant in Trumbull, Connecticut
1639529068- Practice location
- 112 Quarry Road, Suite 400, Trumbull, CT 06611-4816
- Phone
- 203-333-8800
- Fax
- 203-333-6054
- Last updated
- July 7, 2016
Charles Severo is a Physician Assistant based in Trumbull, CT. Charles Severo practices in Trumbull, CT and has the professional credentials of PA. The NPI Number for Charles Severo is 1639529068 and holds a License No. 003579 (CT). The current practice location address for Charles Severo is 112 Quarry Road, Suite 400, Trumbull, CT 06611-4816 and can be reached out via phone at 203-333-8800 and via fax at 203-333-6054.
Provider Profile Details
- NPI Number
- 1639529068
- Provider Name
- Charles Severo
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 112 Quarry Road, Suite 400, Trumbull, CT 06611-4816
- Phone Number
- 203-333-8800
- Fax Number
- 203-333-6054
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 16, 2016
- Last Update Date
- July 7, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 Quarry Road
Suite 400
Trumbull, CT 06611-4816 - City
- Trumbull
- State
- Connecticut
- Zip
- 06611-4816
- Phone Number
- 203-333-8800
- Fax Number
- 203-333-6054
Provider Business Mailing Address Details
- Address
- 112 Quarry Road
Suite 400
Trumbull, CT 06611-4816 - City
- Trumbull
- State
- CT
- Zip
- 06611-4816
- Phone Number
- 203-333-8800
- Fax Number
- 203-333-6054
License Information
- License Number
- 003579
- 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 Mr. Charles Severo, PA?
The NPI number of Mr. Charles Severo, PA is 1639529068. It was assigned on June 16, 2016 and is currently active in the NPPES registry.
What is the specialty of Mr. Charles Severo, PA?
Mr. Charles Severo, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 003579.
Where does Mr. Charles Severo, PA practice?
The practice location is 112 Quarry Road, Suite 400, Trumbull, CT 06611-4816. The office can be reached at 203-333-8800 (phone) or 203-333-6054 (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 1639529068 directly on the NPPES registry website.