Brandon Ito, PA-C
Physician Assistant in Meriden, Connecticut
1962022129- Practice location
- 455 Lewis Ave Ste 221, Meriden, CT 06451-2121
- Phone
- 203-694-8550
- Fax
- 203-694-7698
- Last updated
- October 27, 2021
Brandon Ito is a Physician Assistant based in Meriden, CT. Brandon Ito practices in Meriden, CT and has the professional credentials of PA-C. The NPI Number for Brandon Ito is 1962022129 and holds a License No. 5422 (CT). The current practice location address for Brandon Ito is 455 Lewis Ave Ste 221, Meriden, CT 06451-2121 and can be reached out via phone at 203-694-8550 and via fax at 203-694-7698.
Provider Profile Details
- NPI Number
- 1962022129
- Provider Name
- Brandon Ito
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 455 Lewis Ave Ste 221, Meriden, CT 06451-2121
- Phone Number
- 203-694-8550
- Fax Number
- 203-694-7698
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 17, 2020
- Last Update Date
- October 27, 2021
- Certification Date
- October 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 455 Lewis Ave Ste 221
Meriden, CT 06451-2121 - City
- Meriden
- State
- Connecticut
- Zip
- 06451-2121
- Phone Number
- 203-694-8550
- Fax Number
- 203-694-7698
Provider Business Mailing Address Details
- Address
- 1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4337
License Information
- License Number
- 5422
- 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 Brandon Ito, PA-C?
The NPI number of Brandon Ito, PA-C is 1962022129. It was assigned on April 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Brandon Ito, PA-C?
Brandon Ito, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 5422.
Where does Brandon Ito, PA-C practice?
The practice location is 455 Lewis Ave Ste 221, Meriden, CT 06451-2121. The office can be reached at 203-694-8550 (phone) or 203-694-7698 (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 1962022129 directly on the NPPES registry website.