Individual
EMMA CATHERINE BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3300
(860) 545-5000
Mailing address
97 FERN ST APT 6, HARTFORD, CT 06105-6201
(774) 249-3543
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/13/2024
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