Individual
KWAME O ASANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL REHAB DEPT, HARTFORD, CT 06102-5037
(860) 972-5107
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL REHAB DEPT, HARTFORD, CT 06102-5037
(860) 972-5107
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MT197711
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
053679
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CT
Enumeration date
06/07/2010
Last updated
11/11/2021
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