Individual
MRS. DOMINIQUE PANTINO HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 GRAND ST, DEPARTMENT OF PEDIATRICS, NEW BRITAIN, CT 06052-2016
(860) 224-5691
Mailing address
365 MATHER ST, APARTMENT 203, HAMDEN, CT 06514-3148
(631) 805-4548
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002165
CT
Other
Enumeration date
09/30/2008
Last updated
01/13/2012
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