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Individual

MR. JOHN DANIEL D'AGATA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
114 WOODLAND ST, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
20 COUNTRY LN, WINDSOR, CT 06095-3412
(860) 324-3684

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3783
CT
363AS0400X
Surgical Physician Assistant
3783
CT

Other

Enumeration date
02/14/2017
Last updated
07/30/2022
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