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Individual

MS. MERIN P SWISTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
114 WOODLAND ST, NICU, HARTFORD, CT 06105-1208
(860) 714-4404
Mailing address
114 WOODLAND ST, NICU, HARTFORD, CT 06105-1208
(860) 714-4404

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
CT
363AM0700X
Medical Physician Assistant
Primary
002787
CT

Other

Enumeration date
07/27/2012
Last updated
11/06/2017
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