Stacy S Adil, PA-C
Physician Assistant, Medical in New Haven, CT. Individual provider (NPI-1).
NPI number1093943193
StatusActive
Last updated in NPPESFeb 28, 2018
Details
- NPI
- 1093943193
- Entity type
- Individual (NPI-1)
- Name
- Stacy S Adil
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2009
- Last updated
- Feb 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 002313 | CT | Yes |
Practice location
20 York Street Cb-2041New Haven, CT 06510
Phone 203-688-4748 · Fax 203-688-4740
Mailing address
20 York St, Cb-2041New Haven, CT 06510-3220
Phone 203-688-4748 · Fax 203-688-4740
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