IndividualActive
Josephine Diaz
NPI 1871517342 · Medical Physician Assistant · Suffield, CT
Provider details
- NPI number
- 1871517342
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 000895 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
162 Mountain Rd
Suffield, CT 06078-2091
Phone: (860) 668-1211
Fax: (860) 668-2045
Approximate (ZIP-level) locationGet directions
Mailing address
37 Harmony Hill Rd
Granby, CT 06035-1222
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2012-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.