IndividualActive
Adija Memboup, PA
NPI 1942365986 · Physician Assistant · Danbury, CT
Provider details
- NPI number
- 1942365986
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 5545 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
24 Hospital Ave
Danbury, CT 06810-6077
Phone: (917) 873-5185
Approximate (ZIP-level) locationGet directions
Mailing address
24 Hospital Ave
Danbury, CT 06810-6077
Additional practice locations (1)
- 111 E 210th StBronx, NY 10467-2490Phone: (718) 920-9838
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2022-05-07
- Certified
- 2022-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.