Individual
IRINA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-5000
Mailing address
81 NORTHGATE, AVON, CT 06001
(860) 882-4356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4192
CT
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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