Individual
GEORGE D. EASTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6679
(860) 496-6650
Mailing address
PO BOX 30774, HARTFORD, CT 06150-0774
(866) 898-7138
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001069
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010690
CONNECTICARE
—
Enumeration date
10/10/2006
Last updated
05/09/2008
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