IndividualActive
Dimitri Ghecas, PA-C
NPI 1174595490 · Physician Assistant · New Milford, CT
Provider details
- NPI number
- 1174595490
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 00735 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11 Old Park Lane
New Milford, CT 06776
Phone: (860) 355-1149
Fax: (860) 355-5957
Approximate (ZIP-level) locationGet directions
Mailing address
11 Old Park Lane
New Milford, CT 06776
Registry dates
- Enumerated
- 2006-02-02
- Last updated
- 2024-06-18
- Certified
- 2024-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.