Individual
SAMANTHA ZAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 SEYMOUR ST STE 919, HARTFORD, CT 06106-5528
(860) 324-9661
Mailing address
85 SEYMOUR ST STE 919, HARTFORD, CT 06106-5528
(860) 324-9661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
5692
CT
363AS0400X
Surgical Physician Assistant
—
CT
Other
Enumeration date
06/24/2022
Last updated
08/31/2022
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