Individual
SCOTT E HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
201 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076-4005
(860) 679-2702
(860) 272-2993
Mailing address
933 HEBRON AVE, GLASTONBURY, CT 06033-2973
(860) 633-8794
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001632
CT
Other
Enumeration date
08/12/2005
Last updated
11/07/2022
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