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Individual

MARY RYAN CALNEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
65 MEMORIAL RD STE 508, WEST HARTFORD, CT 06107-4233
(860) 696-2925
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003233
CT
363AM0700X
Medical Physician Assistant
003233
CT
363AS0400X
Surgical Physician Assistant
Primary
003233
CT

Other

Enumeration date
12/02/2014
Last updated
07/05/2023
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