Healthcare Provider Details

I. General information

NPI: 1285518951
Provider Name (Legal Business Name): ANDREW JAMES STRATTON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 RETREAT AVE
HARTFORD CT
06106-2555
US

IV. Provider business mailing address

132 LAWNWOOD AVE
LONGMEADOW MA
01106-3021
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-4183
  • Fax:
Mailing address:
  • Phone: 413-847-1695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number7273
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: