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Individual

RUBEN ESTRADA MADRID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
80 SEYMOUR ST., HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 972-0000
Mailing address
80 SEYMOUR ST, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 972-0000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003305
CT
363AM0700X
Medical Physician Assistant
Primary
003305
CT
363AM0700X
Medical Physician Assistant
016841
NY
363AS0400X
Surgical Physician Assistant
003305
CT

Other

Enumeration date
09/30/2013
Last updated
04/29/2015
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