Individual
MIRA MAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
76 NEW BRITAIN AVE, HARTFORD, CT 06106-3305
(860) 545-9300
(860) 343-7379
Mailing address
19 GRAND ST, MIDDLETOWN, CT 06457-2705
(860) 347-6971
(860) 343-7379
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
81677
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
06/10/2025
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