Individual
NICOLE ANN QUATTRUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-0000
Mailing address
80 SEYMOUR STREET, HARTFORD, CT 01602-5037
(860) 972-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3479
CT
363AM0700X
Medical Physician Assistant
Primary
003479
CT
363AS0400X
Surgical Physician Assistant
003479
CT
Other
Enumeration date
11/16/2015
Last updated
12/29/2015
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