Individual
MICHAEL ANTHONY ASCENZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Mailing address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002060
CT
363AS0400X
Surgical Physician Assistant
002060
CT
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-1406459
TRICARE
CT
01
—
206000
CONNECTICARE
CT
01
—
290002060CT01
ANTHEM BCBS OF CT
CT
01
—
3V1079
HEALTH NET
CT
Enumeration date
10/14/2008
Last updated
05/13/2025
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