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Individual

MICHAEL LEE SCHAJER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R PA-C

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPTIAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 545-0000
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 972-9047

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002863
CT
363A00000X
Physician Assistant
014228
NY
363AM0700X
Medical Physician Assistant
Primary
002863
CT
363AS0400X
Surgical Physician Assistant
002863
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003028636
CT
Enumeration date
09/08/2010
Last updated
01/04/2019
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