Individual
MS. CRYSTAL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL ER DEPT, HARTFORD, CT 06102-5037
(860) 972-0000
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL ER DEPT, HARTFORD, CT 06102-5037
(860) 972-0000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2640
CT
Other
Enumeration date
08/20/2011
Last updated
11/05/2018
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