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Individual

CHARLOTTE JOY WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002758
CT
363AM0700X
Medical Physician Assistant
002758
CT
363AS0400X
Surgical Physician Assistant
Primary
002758
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003027588
CT
Enumeration date
06/08/2012
Last updated
02/18/2015
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