Individual
JOSE MORALES-MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
94 WOODLAND ST, CANCER CENTER, HARTFORD, CT 06105-1217
(860) 714-4680
(860) 714-8047
Mailing address
1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 06105-1770
(860) 714-6581
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000635
CT
Other
Enumeration date
08/12/2005
Last updated
02/27/2009
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