Provider Demographics
NPI:1346750692
Name:ZEHRING, TIJI SAJI (PA)
Entity type:Individual
Prefix:
First Name:TIJI
Middle Name:SAJI
Last Name:ZEHRING
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6 GREENWICH OFFICE PARK
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-5151
Mailing Address - Country:US
Mailing Address - Phone:203-869-1145
Mailing Address - Fax:203-869-4246
Practice Address - Street 1:656 NEW HAVEN AVE STE 3B
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-2528
Practice Address - Country:US
Practice Address - Phone:475-281-2502
Practice Address - Fax:475-281-2503
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-01
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT4354363AS0400X, 363A00000X
NY021340-1363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical