Healthcare Provider Details

I. General information

NPI: 1184134702
Provider Name (Legal Business Name): JOSHUA MEIR ALGE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2017
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1579 STRAITS TPKE STE E
MIDDLEBURY CT
06762-1841
US

IV. Provider business mailing address

2 BARNES INDUSTRIAL RD S
WALLINGFORD CT
06492-2486
US

V. Phone/Fax

Practice location:
  • Phone: 203-598-0700
  • Fax: 877-345-6922
Mailing address:
  • Phone: 203-626-0160
  • Fax: 203-294-6734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number005947
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: