Individual
JOHN P MARTIN-BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
85 JEFFERSON STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102
(860) 972-1506
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102-5037
(860) 972-1506
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
007106
CT
363LA2200X
Adult Health Nurse Practitioner
007106
CT
Other
Enumeration date
06/01/2017
Last updated
08/17/2018
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