IndividualActive
Amanda Monfalcone, PA-C
NPI 1790403855 · Surgical Physician Assistant · Middletown, CT
Provider details
- NPI number
- 1790403855
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 000692771 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
512 Saybrook Rd Ste 100
Middletown, CT 06457-4788
Phone: (860) 347-7636
Fax: (860) 894-1894
Approximate (ZIP-level) locationGet directions
Mailing address
5 High Ridge Park Fl 2
Stamford, CT 06905-1332
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.