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Individual

ANNA GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
Mailing address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
033909
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001339094
CT
Enumeration date
01/30/2007
Last updated
03/18/2014
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