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Individual

TIA JEAN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, MMSC

Contact information

Practice address
1111 CROMWELL AVE # 404, ROCKY HILL, CT 06067
(860) 525-4469
Mailing address
538 LITCHFIELD ST STE G01, TORRINGTON, CT 06790-6669
(860) 496-9877
(860) 496-0441

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
002877
CT

Other

Enumeration date
02/14/2013
Last updated
08/29/2018
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