Individual
ANNA HOUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
25 NEWELL RD STE E36, BRISTOL, CT 06010-5132
(860) 583-9252
Mailing address
30 WATERCHASE DR, ROCKY HILL, CT 06067-2110
(860) 257-4131
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002903
CT
363AM0700X
Medical Physician Assistant
25MP0024980
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008047053
—
CT
Enumeration date
06/17/2011
Last updated
11/14/2018
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