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Contact Information

ALEXIS G SHAUB, PA
5520 PARK AVE
TRUMBULL, CT06611-3463
 Phone: 203-502-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALEXIS G SHAUB · (Female)

NPI # 1013439769
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/14/2017
Last updated 03/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 3872
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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