Individual
JOHN B HORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102-8000
(860) 972-9495
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102-8000
(609) 729-4958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003848
CT
363AS0400X
Surgical Physician Assistant
PA6900
MA
Other
Enumeration date
05/22/2017
Last updated
06/25/2020
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