Individual
SARA JEAN RUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 972-0000
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPTIAL EMERGENCY MEDICINE, HARTFOD, CO 06102-5037
(860) 972-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003327
CT
363A00000X
Physician Assistant
MA052698
PA
363AM0700X
Medical Physician Assistant
Primary
003327
CT
363AS0400X
Surgical Physician Assistant
003327
CT
Other
Enumeration date
10/06/2006
Last updated
07/18/2015
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