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Individual

ELIZA MARGARET MARTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
1278 MAIN ST, AGAWAM, MA 01001-2584

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002106
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/19/2008
Last updated
10/12/2015
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