Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miranda Polaski, PA

Individual provider Physician Assistant · NPI 1003307554

Miranda Polaski, PA is a Physician Assistant in Southington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2018.

Licensed in
CT
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

81 Meriden Ave
Southington, CT 06489
Phone: (860) 276-5000
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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 4140 (CT)

Record details

NPI number1003307554
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESAugust 22, 2018
Mailing address81 Meriden Ave, Southington, CT 06489-3268

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