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Individual

DR. JORDAN TYLER POWNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
85 SEYMOUR ST STE 923, HARTFORD, CT 06106-5529
(860) 547-1876
Mailing address
85 SEYMOUR STREET, SUITE 923, HARTFORD, CT 06106
(860) 524-4550
(860) 524-4565

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
06106
CT
207RP1001X
Pulmonary Disease Physician
Primary
63819
CT

Other

Enumeration date
06/26/2012
Last updated
04/01/2021
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