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BRYAN THOMAS PROXEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL NEUROLOGY DEPT, HARTFORD, CT 06102-5037
(860) 545-3621
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001515
CT
363AM0700X
Medical Physician Assistant
001515
CT
363AS0400X
Surgical Physician Assistant
001515
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003015153
CT
Enumeration date
12/06/2005
Last updated
06/17/2021
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