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Individual

JOHN K HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
20 YORK ST - CB2041, MILL HILL MEDICAL CONSLUTANTS, INC, NEW HAVEN, CT 06504
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK ST - CB2041, MILL HILL MEDICAL CONSULTANTS, INC, NEW HAVEN, CT 06504
(203) 688-4748
(203) 688-4740

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001765
CT
363AM0700X
Medical Physician Assistant
Primary
001765
CT
363AS0400X
Surgical Physician Assistant
001765
CT

Other

Enumeration date
10/06/2006
Last updated
04/26/2010
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