Individual
SHAWN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
1 MCKINLEY AVE, EAST HAVEN, CT 06512-3736
(203) 996-3959
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3438
CT
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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