Elizabeth Mae Roessler in New Haven - Physician Assistant

Elizabeth Mae Roessler - NPI 1356322358

Elizabeth Mae Roessler is a Physician Assistant in New Haven, Connecticut. Elizabeth Mae Roessler practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elizabeth Mae Roessler is 1356322358. The last update date is 2013-07-24.

Elizabeth Mae Roessler's current location address is 374 Grand Ave, New Haven, Connecticut. You can contact this provider via phone number 2037777411 and fax number 2034012042. The mailing address for Elizabeth Mae Roessler is 374 Grand Ave, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Mae Roessler
Address 374 Grand Ave, New Haven, Connecticut
Phone Number 2037777411
Fax Number 2034012042
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1356322358
Provider Enumeration Date 2005-11-08
Last Updated Date 2013-07-24

Provider Mailing Address Detail

Address 374 Grand Ave
City New Haven
State Connecticut (CT)
Post Code 65133733
Phone Number 2037777411
Fax Number 2034012042

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 673
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
290000673CT03 CT ANTHEM BCBS
970025160 CT RAILROAD MEDICARE
P2685637 CT OXFORD
0V8014 CT HEALTHNET
673000I420 CT CONNECTICARE

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FAQs about Elizabeth Mae Roessler

What is the unique provider identifier assigned to Elizabeth Mae Roessler?

The Elizabeth Mae Roessler has been issued the NPI (National Provider Identifier) 1356322358 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Elizabeth Mae Roessler located?

The Elizabeth Mae Roessler is located at 374 Grand Ave, New Haven, CT 65133733.

What is Elizabeth Mae Roessler's specialized field of practice, and what is the corresponding taxonomy classification code?

The Elizabeth Mae Roessler's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did Elizabeth Mae Roessler receive its 1356322358 assignment from the Centers for Medicare & Medicaid Services?

The Elizabeth Mae Roessler was assigned its 1356322358 on 2005-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Elizabeth Mae Roessler most recently updated or refreshed?

The details pertaining to the Elizabeth Mae Roessler, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-24.

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