Individual
AUGUSTO PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H, FAHA
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL NEUROLOGY DEPT, HARTFORD, CT 06102-5037
(860) 972-3621
Mailing address
80 SEYMOUR STREET P.O. BOX 5037, HARTFORD HOSPITAL NEUROLOGY DEPT, HARTFORD, CT 06102-5037
(860) 972-0726
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
62003
CT
2084N0400X
Neurology Physician
062003
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07729751
—
MS
05
—
1679588198
—
CT
05
—
2426311
—
LA
01
—
D400520696
MEDICARE
CT
Enumeration date
07/31/2006
Last updated
07/18/2024
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