Individual
MR. PHILLIPS ANDRE CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2085
Mailing address
1290 SILAS DEANE HIGHWAY, HHC - CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23.005372
CT
363AM0700X
Medical Physician Assistant
Primary
23.005372
CT
Other
Enumeration date
08/17/2021
Last updated
08/09/2023
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