Provider Demographics
NPI:1336829332
Name:SCHWEISS, ARISSA (PA (PENDING))
Entity Type:Individual
Prefix:
First Name:ARISSA
Middle Name:
Last Name:SCHWEISS
Suffix:
Gender:F
Credentials:PA (PENDING)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S ORANGE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3349
Mailing Address - Country:US
Mailing Address - Phone:203-907-0501
Mailing Address - Fax:
Practice Address - Street 1:200 S ORANGE CENTER RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3349
Practice Address - Country:US
Practice Address - Phone:203-907-0501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant