Individual
CHANDRANNI QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-8000
(860) 545-4670
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001565
CT
363AM0700X
Medical Physician Assistant
001565
CT
363AM0700X
Medical Physician Assistant
AP1928
MA
363AS0400X
Surgical Physician Assistant
Primary
001565
CT
Other
Enumeration date
10/12/2006
Last updated
08/26/2013
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