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Michael Anthony Ascenzia, PA-C
Surgical Physician Assistant in Manchester, Connecticut
NPI 1932351673

Michael Anthony Ascenzia is a Surgical Physician Assistant based in Meriden, CT and is specialized in Surgical. Michael Anthony Ascenzia practices in Manchester, CT and has the professional credentials of PA-C. The NPI Number for Michael Anthony Ascenzia is 1932351673 and holds a License No. 002060 (Connecticut).

The current practice location address for Michael Anthony Ascenzia is 360 Tolland Tpke Ste 1A, Manchester, CT and can be reached out via phone at 860-553-6551. You can also correspond with Michael Anthony Ascenzia through the mailing address at 68 QUARRY FARMS, MERIDEN, CT - 06451-2085 (mailing address contact number: 203-440-1496).

Location: 360 Tolland Tpke Ste 1A, Manchester, CT, 06451-2085
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Provider Profile Details
NPI Number
1932351673
Provider Name
Michael Anthony Ascenzia
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
360 Tolland Tpke Ste 1A, Manchester, CT, 06451-2085
Phone Number
860-553-6551
Fax Number
Provider Enumeration Date
10/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06-1406459 01 CT COMMUNITY HEALTH NETWORK
06-1406459 01 CT GREAT WEST HEALTHCARE
06-1406459 01 CT PRIVATE HEALTHCARE SYSTEMS
06-1406459 01 CT NORTHEAST HEALTH DIRECT
06-1406459 01 CT MULTIPLAN
3V1079 01 CT HEALTH NET
06-1406459 01 CT PIONEER
290002060CT01 01 CT ANTHEM BCBS OF CT
206000 01 CT CONNECTICARE
06-1406459 01 CT TRICARE
institution
Provider Business Practice Location Address Details
Address
360 Tolland Tpke Ste 1A
City
State
Zip
06042-1759
Phone Number
860-553-6551
Fax Number
person
Provider Business Mailing Address Details
Address
68 Quarry Farms
City
State
Zip
06451-2085
Phone Number
203-440-1496
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
002060 (Connecticut)
Definition
Definition to come...
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