Individual
MRS. KATIE MARIE O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 545-0000
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
003020
CT
363A00000X
Physician Assistant
016038
NY
363AM0700X
Medical Physician Assistant
Primary
003020
CT
363AS0400X
Surgical Physician Assistant
003020
CT
Other
Enumeration date
08/31/2012
Last updated
11/16/2017
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