JOANNA FURMONAVICIUS PAC NPI 1306975347

NPI Information

NPI: 1306975347
Provider Name: JOANNA FURMONAVICIUS, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1 LONG WHARF DR STE 212
ADVANCED DIAGNOSTIC PAIN TREATMENT CENTER
NEW HAVEN, CT
ZIP 06511
Phone: (203) 624-4208
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Joanna Furmonavicius, PAC is a medical physician assistant in New Haven, CT. Joanna Furmonavicius, PAC NPI is 1306975347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 LONG WHARF DR STE 212
ADVANCED DIAGNOSTIC PAIN TREATMENT CENTER
NEW HAVEN, CT
ZIP 06511-593
Phone: (203) 624-4208
Fax: (203) 624-4301

The enumeration date for this NPI number is 3/5/2007 and was last updated on 12/2/2010.

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	363AM0700X	Physician Assistant	Medical	001749	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q66892	MEDICARE UPIN	CONNECTICUT
2	970002125	MEDICARE ID-TYPE UNSPECIFIED
3	970002605	MEDICARE PIN	CONNECTICUT

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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