NPI 1023460789

Alexandra Shaw, PAC

Practitioner Surgical Physician Assistant Farmington, CT

Practice location

Address: Uconn Medical Group 263 Farmington Ave, Farmington, CT 06030-0001
Phone: (860) 679-6600
Fax: (860) 679-6649

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 3611 (CT)

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Registry record

NPI: 1023460789
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2016
Record last updated: 11 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.