Active NPIIndividual providerSole proprietor

Evan Perez, PA-C

Physician Assistant in Bristol, Connecticut

NPI Number1659021699
Practice location
625 Clark Ave # B, Bristol, CT 06010-4068
Fax
—
Last updated
March 24, 2022

Evan Perez is a Physician Assistant based in Bristol, CT. Evan Perez practices in Bristol, CT and has the professional credentials of PA-C. The NPI Number for Evan Perez is 1659021699 and holds a License No. 5469 (CT). The current practice location address for Evan Perez is 625 Clark Ave # B, Bristol, CT 06010-4068 and can be reached out via phone at 860-583-7700.

Provider Profile Details

NPI Number
1659021699
Provider Name
Evan Perez
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
625 Clark Ave # B, Bristol, CT 06010-4068
Phone Number
860-583-7700
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2022
Last Update Date
March 24, 2022
Certification Date
March 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
625 Clark Ave # B
Bristol, CT 06010-4068
Zip
06010-4068
Phone Number
860-583-7700
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
19 Brown St Unit 1
New Haven, CT 06511-5744
City
New Haven
State
CT
Zip
06511-5744
Phone Number
361-813-7539

License Information

License Number
5469
License State
CT
Taxonomy
Physician Assistant · 363A00000X · 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 Evan Perez, PA-C?

The NPI number of Evan Perez, PA-C is 1659021699. It was assigned on March 24, 2022 and is currently active in the NPPES registry.

What is the specialty of Evan Perez, PA-C?

Evan Perez, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 5469.

Where does Evan Perez, PA-C practice?

The practice location is 625 Clark Ave # B, Bristol, CT 06010-4068. The office can be reached at 860-583-7700 (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 1659021699 directly on the NPPES registry website.

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