Individual
LEAH RAE POLICARPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3300
(860) 545-5000
Mailing address
357 VERA RD, BRISTOL, CT 06010-5586
(860) 930-5836
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7225
CT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/20/2025
Last updated
07/29/2025
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