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Individual

ROSS H ALBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT, HARTFORD, CT 06102-5037
(860) 972-2085
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT, HARTFORD, CT 06102-5037
(860) 927-2085

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
048604
CT
207Q00000X
Family Medicine Physician
MD432931
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
048604
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008016993
CT
01
048604
CT LICENSE
CT
Enumeration date
04/08/2008
Last updated
08/19/2015
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