Christy Santilli, PA
Physician Assistant, Medical in Bridgeport, CT. Individual provider (NPI-1).
NPI number1336780709
StatusActive
Last updated in NPPESNov 29, 2023
Details
- NPI
- 1336780709
- Entity type
- Individual (NPI-1)
- Name
- Christy Santilli
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2019
- Certification date
- Nov 29, 2023
- Last updated
- Nov 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 4628 | CT | Yes |
Practice location
1381 Reservoir AveBridgeport, CT 06606-2502
Phone 203-371-5197 · Fax 203-371-6118
Mailing address
17 Earle StMilford, CT 06460-7623
Phone 203-414-2010
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