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Individual
NICHOLAS SCOTT HASKELL
Active
Individual
NICHOLAS SCOTT HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003032
CT
363AM0700X
Medical Physician Assistant
003032
CT
363AS0400X
Surgical Physician Assistant
Primary
003032
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003030327
—
CT
Enumeration date
05/14/2014
Last updated
09/19/2014
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