Individual
CAITLIN HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-5022
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-5022
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
004496
CT
363AS0400X
Surgical Physician Assistant
Primary
004496
CT
Other
Enumeration date
06/05/2019
Last updated
10/17/2019
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