Individual
ELIZABETH PENSABENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5022
Mailing address
169 KNOLLWOOD DR, WALLINGFORD, CT 06492-2997
(908) 331-0110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA065281
PA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
01/25/2024
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