Individual
MICHAEL L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 ASYLUM AVE, SUITE 4307, HARTFORD, CT 06105-1770
(860) 714-4381
Mailing address
1000 ASYLUM AVE, SUITE 4307, HARTFORD, CT 06105-1770
(860) 714-4381
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2925
CT
Other
Enumeration date
05/20/2013
Last updated
07/09/2013
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