Individual
ELIZABETH OBLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9560
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002891
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215947387
CONNECTICUT CHILDREN'S MEDICAL CENTER
—
Enumeration date
04/13/2013
Last updated
02/13/2023
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