Active NPIIndividual provider

Candace Treadway, PA

Physician Assistant in Marlborough, Connecticut

NPI Number1891730107
Practice location
14 Jones Hollow Road, Marlborough, CT 06447
Fax
860-295-9734
Last updated
February 22, 2012

Candace Treadway is a Physician Assistant based in Marlborough, CT. Candace Treadway practices in Marlborough, CT and has the professional credentials of PA. The NPI Number for Candace Treadway is 1891730107 and holds a License No. 002028 (CT). The current practice location address for Candace Treadway is 14 Jones Hollow Road, Marlborough, CT 06447 and can be reached out via phone at 860-295-8217 and via fax at 860-295-9734.

Provider Profile Details

NPI Number
1891730107
Provider Name
Candace Treadway
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
14 Jones Hollow Road, Marlborough, CT 06447
Phone Number
860-295-8217
Fax Number
860-295-9734
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2006
Last Update Date
February 22, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Jones Hollow Road
Marlborough, CT 06447
Zip
06447
Phone Number
860-295-8217
Fax Number
860-295-9734
Marlborough, CT 06447Get directions →

Provider Business Mailing Address Details

Address
14 Jones Hollow Road
Marlborough, CT 06447
City
Marlborough
State
CT
Zip
06447
Phone Number
860-295-8217
Fax Number
860-295-9734

License Information

License Number
002028
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 Candace Treadway, PA?

The NPI number of Candace Treadway, PA is 1891730107. It was assigned on June 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Candace Treadway, PA?

Candace Treadway, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 002028.

Where does Candace Treadway, PA practice?

The practice location is 14 Jones Hollow Road, Marlborough, CT 06447. The office can be reached at 860-295-8217 (phone) or 860-295-9734 (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 1891730107 directly on the NPPES registry website.

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