NPI 1124122650

Aimee J Criscuolo Beck, PA

Practitioner Medical Physician Assistant Groton, CT

Practice location

Address: 481 Gold Star Hwy STE 100, Groton, CT 06340-6702
Phone: (860) 446-8858
Fax: (860) 405-2140
Mailing address: 420 Saybrook Rd, Middletown, CT 06457-4747

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 000925 (CT)

Other Physician Assistant providers in Connecticut →

Registry record

NPI: 1124122650
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2006
Record last updated: 4 Nov 2019

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.