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

Mr. Charles Severo, PA

Individual provider Physician Assistant · NPI 1639529068

Mr. Charles Severo, PA is a Physician Assistant in Trumbull, Connecticut. Licensed in Connecticut. Registered with an NPI since 2016.

Licensed in
CT
In the registry since
2016
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

112 Quarry Rd Ste 400
Trumbull, CT 06611-4816
Phone: (203) 333-8800
Fax: (203) 333-6054
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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 003579 (CT)

Record details

NPI number1639529068
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 16, 2016
Last updated in NPPESJuly 7, 2016
Mailing address112 Quarry Road, Suite 400, Trumbull, CT 06611-4816

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