Charles Severo, P.A. Valid NPI

Individual provider · Physician Assistant · Trumbull, CT

NPI

1639529068

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

003579 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2016-06-16

Last updated

2016-07-07