Individual
DOROTHY CAUDULLO CHMIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102
(860) 972-0001
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55698
CA
363AM0700X
Medical Physician Assistant
Primary
003257
CT
363AS0400X
Surgical Physician Assistant
003257
CT
Other
Enumeration date
09/15/2014
Last updated
12/01/2022
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