MEDICARE: MS. ANNA ROSE GILL 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
1	363A00000X	Physician Assistant	5448	CT

General Provider Information

NPI Number	:	1922770924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNA ROSE GILL PA-C

Provider Business Mailing Address
First Line	:	500 CHASE PKWY
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06708-3346
Country	:	US
Telephone Number	:	203-755-6677
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 CHASE PKWY
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06708-3346
Country	:	US
Telephone Number	:	203-755-6677
Fax Number	:	203-573-9182

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2021
Last Update Date	:	01/08/2026

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