person
Mr. Jason Robert Fedak, PA-C
Medical Physician Assistant in Danbury, Connecticut
NPI 1679666572

Jason Robert Fedak is a Medical Physician Assistant based in Danbury, CT and is specialized in Medical. Jason Robert Fedak practices in Danbury, CT and has the professional credentials of PA-C. The NPI Number for Jason Robert Fedak is 1679666572 and holds a License No. 001470 (Connecticut).

The current practice location address for Jason Robert Fedak is 2 Main St, Danbury, CT and can be reached out via phone at 203-826-2140 and via fax at 203-826-2139.

Location: 2 Main St, Danbury, CT, 06810-8047
person
Provider Profile Details
NPI Number
1679666572
Provider Name
Jason Robert Fedak
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2 Main St, Danbury, CT, 06810-8047
Phone Number
203-826-2140
Fax Number
203-826-2139
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
290001470CT01 01 ANTHEM BCBS
147000 01 CONNECTICARE
2V4615 01 HEALTHNET OF THE NORTHEAS
P3613396 01 OXFORD HEALTH PLANS
institution
Provider Business Practice Location Address Details
Address
2 Main St
City
State
Zip
06810-8047
Phone Number
203-826-2140
Fax Number
203-826-2139
person
Provider Business Mailing Address Details
Address
2 Main St
City
State
Zip
06810-8047
Phone Number
203-826-2140
Fax Number
203-826-2139
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001470 (Connecticut)
Definition
Definition to come...
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