Individual
MRS. STEPHANIE GORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
60 BARKSDALE RD, WEST HARTFORD, CT 06117-1607
(860) 985-4188
Mailing address
60 BARKSDALE RD, WEST HARTFORD, CT 06117-1607
(860) 985-4188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
01/04/2019
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