Provider Demographics
NPI:1982994109
Name:HILLMAN, CAROLINE MARY (PA-C)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MARY
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 GODFREY RD E
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-1424
Mailing Address - Country:US
Mailing Address - Phone:203-856-9128
Mailing Address - Fax:
Practice Address - Street 1:130 GODFREY RD E
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:CT
Practice Address - Zip Code:06883-1424
Practice Address - Country:US
Practice Address - Phone:203-856-9128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AS0400X
CT002572363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical