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Individual

INDRAMATTIE T. JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL NEUROSURGERY DEPT, HARTFORD, CT 06102
(860) 545-1911
Mailing address
HARTFORD HOSPITAL PROFESSIONAL SERVICES, PO BOX 40,000 DEPT 634, HARTFORD, CT 06151-0634
(860) 545-7602

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00868
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003008687
CT
Enumeration date
10/11/2006
Last updated
12/31/2018
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