Individual
MR. SEAN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(413) 237-9440
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(413) 237-9440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0122851
NY
363A00000X
Physician Assistant
AP1797
MA
363AM0700X
Medical Physician Assistant
Primary
001483
CT
Other
Enumeration date
01/13/2006
Last updated
11/06/2020
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