Individual
ISAAC RUBEN RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL UROLOGY DEPT, HARTFORD, CT 06102-8000
(860) 545-2791
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
002888
CT
363AS0400X
Surgical Physician Assistant
Primary
002888
CT
363L00000X
Nurse Practitioner
002888
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003028883
—
CT
Enumeration date
03/25/2013
Last updated
05/09/2013
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