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NPI Code Detail

MEDICARE: NICOLE FILBERT PA-C

MEDICARE: NICOLE FILBERT PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1629751292
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE FILBERT PA-C
Provider Business Mailing Address
First Line : 123 HIGH RIDGE RD FL 2
Second Line :
City : STAMFORD
State : CT
Zip : 06905-3811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 123 HIGH RIDGE RD FL 2
Second Line :
City : STAMFORD
State : CT
Zip : 06905-3811
Country : US
Telephone Number : 475-400-9455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 08/15/2023

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Directions to “ NICOLE FILBERT PA-C” Practice Location

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