Individual
CRYSTAL L. HOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 972-9047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04193
NC
363A00000X
Physician Assistant
Primary
003075
CT
363AM0700X
Medical Physician Assistant
003075
CT
363AS0400X
Surgical Physician Assistant
003075
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003030756
—
CT
Enumeration date
05/01/2013
Last updated
05/09/2014
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