Individual
TARA L HODGKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
Mailing address
547 ADDISON RD, GLASTONBURY, CT 06033-1302
(860) 888-8134
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
068992
CT
Other
Enumeration date
10/24/2006
Last updated
09/17/2013
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