Individual
JENNIFER BOYD GUERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003207
CT
363AM0700X
Medical Physician Assistant
003207
CT
363AS0400X
Surgical Physician Assistant
Primary
003207
CT
Other
Enumeration date
10/23/2014
Last updated
06/15/2020
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