MR. PAUL CHRISTOPHER POLZELLA PA-C NPI 1043243330

NPI Information

NPI: 1043243330
Provider Name: MR. PAUL CHRISTOPHER POLZELLA, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC

PECOS Registration: Yes

Address:
399 FARMINGTON AVE
SUITE 210
FARMINGTON, CT
ZIP 06032
Phone: (860) 548-7338
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MR. Paul Christopher Polzella, PA-C is a surgical physician assistant in Farmington, CT with 27 years of experience. MR. Paul Christopher Polzella, PA-C NPI is 1043243330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year:1997

The provider's business location address is:

399 FARMINGTON AVE
SUITE 210
FARMINGTON, CT
ZIP 06032-936
Phone: (860) 548-7338
Fax: (860) 674-4232

The NPI 1043243330 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 7/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		MA052532	PENNSYLVANIA	No
2	363AS0400X	Physician Assistant	Surgical	000705	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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