NPI 1063069748

Julie Ping Gedalecia, PA

Practitioner Medical Physician Assistant Milford, CT

Practice location

Address: 2044 Bridgeport Ave, Milford, CT 06460-4633
Phone: (203) 878-1006
Fax: (203) 878-7043

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 1063069748 (CT)

Other Physician Assistant providers in Connecticut →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 23.004490 (CT)

Registry record

NPI: 1063069748
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2019
Record last updated: 11 Feb 2020

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.