Individual
MS. JANICE EILEEN BEAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 WELLS ST, HARTFORD, CT 06103-2928
(860) 249-4466
(860) 249-4469
Mailing address
20 CHERRY HILL RD, BROOKLYN, CT 06234-1405
(860) 412-0086
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000389
CT
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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