Individual
MICHAEL MERRILL PANCIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
003456
CT
363AM0700X
Medical Physician Assistant
003456
CT
363AS0400X
Surgical Physician Assistant
Primary
003456
CT
Other
Enumeration date
08/12/2015
Last updated
10/09/2015
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