Individual
MRS. JULIANE MARGARET KRASICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4219
Mailing address
99 DEERWOOD RD, TOLLAND, CT 06084
(860) 759-0826
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002762
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003027820
—
CT
Enumeration date
07/09/2012
Last updated
07/28/2023
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