Alexander James Ejzak in New London - Physician Assistant
Alexander James Ejzak - NPI 1083860761
Alexander James Ejzak is a Physician Assistant in New London, Connecticut. Alexander James Ejzak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Alexander James Ejzak is 1083860761. The last update date is 2019-02-26.
Alexander James Ejzak's current location address is 365 Montauk Ave, New London, Connecticut. You can contact this provider via phone number 8604420711. The mailing address for Alexander James Ejzak is 365 Montauk Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexander James Ejzak |
|---|---|
| Address | 365 Montauk Ave, New London, Connecticut |
| Phone Number | 8604420711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1083860761 |
|---|---|
| Provider Enumeration Date | 2008-08-13 |
| Last Updated Date | 2019-02-26 |
Provider Mailing Address Detail
| Address | 365 Montauk Ave |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63204700 |
| Phone Number | 8604420711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2130 |
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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 |
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What is the unique 10-digit identifier code assigned to Alexander James Ejzak by the Centers for Medicare & Medicaid Services?
The Alexander James Ejzak has been issued the NPI (National Provider Identifier) 1083860761 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Alexander James Ejzak is physically located?
The Alexander James Ejzak is physically situated at the following address: 365 Montauk Ave, New London, CT, 63204700.
What is the area of specialization for Alexander James Ejzak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alexander James Ejzak is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083860761 to Alexander James Ejzak?
The Centers for Medicare & Medicaid Services originally issued the 1083860761 to Alexander James Ejzak on 2008-08-13.
As of what date was the information regarding Alexander James Ejzak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Alexander James Ejzak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-02-26.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA