Provider Demographics
NPI:1295627503
Name:GALANTINI, ANGELA SOPHIA (PA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:SOPHIA
Last Name:GALANTINI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:SOPHIA
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2441 BROADBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-3845
Mailing Address - Country:US
Mailing Address - Phone:203-540-7218
Mailing Address - Fax:
Practice Address - Street 1:317 FOXON RD
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-2038
Practice Address - Country:US
Practice Address - Phone:475-441-7809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7235363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant