Individual
AMANDA M HARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
103 HIDDEN VALLEY RD, GROTON, MA 01450-2234
(978) 448-9904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2990
CT
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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