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Individual

BETHANY PLANT HRICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

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) 972-2085

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000929
CT
363A00000X
Physician Assistant
003451
CT
363AM0700X
Medical Physician Assistant
Primary
003451
CT
363AS0400X
Surgical Physician Assistant
003451
CT

Other

Enumeration date
12/01/2009
Last updated
10/09/2015
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