Individual
EDMOND BEQIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
85 SEYMOUR ST, SUITE 901, HARTFORD, CT 06106-5501
(860) 860-5450
(860) 545-5221
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(203) 734-7356
(860) 571-3470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002753
CT
363AM0700X
Medical Physician Assistant
2753
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002753
LICENSE
CT
Enumeration date
06/20/2012
Last updated
09/27/2018
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