Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corey Craig Bousquet, PA-C

Individual provider Physician Assistant · NPI 1598717571

Corey Craig Bousquet, PA-C is a Physician Assistant in Fairfield, Connecticut. Qualified in 2002, 24 years ago. Practices with Afc Physicians of Connecticut PC, a 41-clinician group. Licensed in Connecticut and Florida.

Years since qualifying
24
Licensed in
CT, FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1918 Black Rock Tpke
Fairfield, CT 06825-3543
Phone: (203) 583-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2478 (CT)
Physician Assistant Taxonomy 363A00000X · Licence PA9102466 (FL)

Record details

NPI number1598717571
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Afc Physicians Of Connecticut Pc — 41 clinicians
Accepts Medicare assignment Not indicated
Practice locations12 on file with Medicare

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