Individual
MR. MICHAEL CHRISTOPHER PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5266
Mailing address
114 VALLEY DR, BERLIN, CT 06037-3002
(860) 518-4487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
125598
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
12.006164
CT
Other
Enumeration date
04/13/2015
Last updated
04/26/2018
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