Organization
HARTFORD HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FREUND (AP MANAGER)
(860) 209-3315
Entity
Organization
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-5000
Mailing address
21 STOWE ST, MIDDLEFIELD, CT 06455-1206
(860) 803-7621
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/20/2023
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