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Contact Information

DEIRDRE L MONAHAN, PA-C
320 POMFRET ST
PUTNAM, CT06260
 Phone: 860-928-7503
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DEIRDRE L MONAHAN · (Female)

NPI # 1962736892
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/24/2009
Last updated 04/15/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 002327
  • FL License # PA9110356
  • MA License # MAPA4438
Hospital affiliation(s)
  • DAY KIMBALL HOSPITAL - (Acute Care)
    320 POMFRET STREET
    PUTNAM, CT 06260
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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