Individual
PERSIS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1162 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2410
(860) 236-3084
(860) 561-5961
Mailing address
95 WOODLAND ST FL 1, HARTFORD, CT 06105-1230
(860) 714-7362
(860) 714-8140
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10824600
NJ
208000000X
Pediatrics Physician
56651
CT
Other
Enumeration date
05/29/2014
Last updated
12/01/2022
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