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Individual

MR. JOSEPH PETER KOCOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
71 HAYNES ST, DEPARTMENT OF EMERGENCY MEDICINE, MANCHESTER, CT 06040-4131
(860) 646-1222
(806) 647-6412
Mailing address
71 HAYNES ST, DEPARTMENT OF EMERGENCY MEDICINE, MANCHESTER, CT 06040-4131

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002825
CT
363AM0700X
Medical Physician Assistant
002825
CT

Other

Enumeration date
09/26/2012
Last updated
09/05/2019
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