Individual
MISTI TALATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
478 BURNSIDE AVE, 2ND FLOOR, EAST HARTFORD, CT 06108-2406
(860) 528-7161
Mailing address
478 BURNSIDE AVE, 2ND FLOOR, EAST HARTFORD, CT 06108-2406
(860) 528-7161
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002447
CT
Other
Enumeration date
01/17/2011
Last updated
12/14/2021
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