Mrs. Johanna L D'Addario, PA-C
Physician Assistant, Medical in New Haven, Connecticut
1992940266- Practice location
- 20 York St, New Haven, CT 06510-3220
- Phone
- 203-688-2615
- Fax
- —
- Last updated
- December 7, 2022
Johanna Laine D'Addario is a Physician Assistant, Medical based in New Haven, CT. Johanna Laine D'Addario practices in New Haven, CT and has the professional credentials of PA-C. The NPI Number for Johanna Laine D'Addario is 1992940266 and holds a License No. 2578 (CT). The current practice location address for Johanna Laine D'Addario is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-688-2615.
Provider Profile Details
- NPI Number
- 1992940266
- Provider Name
- Johanna Laine D'Addario
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 York St, New Haven, CT 06510-3220
- Phone Number
- 203-688-2615
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- Miss Johanna Laine Chelcun (Former Name)
- Provider Enumeration Date
- December 15, 2008
- Last Update Date
- December 7, 2022
- Certification Date
- December 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-3220
- Phone Number
- 203-688-2615
Provider Business Mailing Address Details
- Address
- 24 Timberline Dr
Farmington, CT 06032-1744 - City
- Farmington
- State
- CT
- Zip
- 06032-1744
- Phone Number
- 212-920-1857
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 2578
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · 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 Mrs. Johanna L D'Addario, PA-C?
The NPI number of Mrs. Johanna L D'Addario, PA-C is 1992940266. It was assigned on December 15, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Johanna L D'Addario, PA-C?
Mrs. Johanna L D'Addario, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 2578.
Where does Mrs. Johanna L D'Addario, PA-C practice?
The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-688-2615 (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 1992940266 directly on the NPPES registry website.