Individual
GINA M SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
32 SEYMOUR ST, HARTFORD, CT 06106-3321
(860) 972-2245
Mailing address
32 SEYMOUR ST, HARTFORD, CT 06106-3321
(860) 972-2245
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006757
CT
363AS0400X
Surgical Physician Assistant
PA2252
ME
Other
Enumeration date
06/02/2017
Last updated
09/24/2024
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