Individual
CONNOR TRYGAR
Active
Individual
CONNOR TRYGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
25MP00390300
NJ
363AS0400X
Surgical Physician Assistant
Primary
MA059705
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA059705
STATE LICENSE
PA
Enumeration date
08/17/2016
Last updated
05/05/2022
Update your record
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