Individual
MISS MORGAN D'ANTUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23.004171
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23.004171
DPH PRACTITIONER LICENSING AND INVESTIGATIONS SECTION
CT
Enumeration date
08/01/2018
Last updated
08/01/2018
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