SHELBY BLACKLEY
Physician Assistant - Surgical
Active
Individual
NPI: 1518584259
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | 4908 (CT) |
Frequently Asked Questions
NPI 1518584259 is the National Provider Identifier for SHELBY BLACKLEY, a Physician Assistant - Surgical provider located in Trumbull, CT. This NPI was enumerated on June 29, 2020.
SHELBY BLACKLEY practices at 5520 PARK AVE STE WP-2300, Trumbull, CT 06611.
Quick Facts
- NPI
- 1518584259
- Type
- Individual
- Enumerated
- Jun 29, 2020
- Last Updated
- Oct 1, 2025
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