Individual
MRS. LESLIE TIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
85 SEYMOUR ST STE 125, HARTFORD, CT 06106-5507
(959) 599-3526
(608) 696-5140
Mailing address
85 SEYMOUR ST STE 125, HARTFORD, CT 06106-5507
(959) 599-3526
(608) 696-5140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001934
CT
363AM0700X
Medical Physician Assistant
Primary
001934
CT
Other
Enumeration date
03/24/2008
Last updated
03/04/2024
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