Individual
ASHLEY WEISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-5000
Mailing address
HARTFORD HOSPITAL CVO PROVIDER ENROLLMENT, 80 SEYMOUR STREET, HARTFORD, CT 06102-5037
(860) 972-3495
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
03/11/2020
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