INA LICO

HARTFORD, CT
NPI1164096921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: CT  077532)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CT  077532)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-17
Last Update Date2024-10-07
Business Address
INA LICO DO
80 SEYMOUR ST
HARTFORD, CT 06102-8000
Phone number: 860-972-2085
Mailing Address
INA LICO DO
263 FARMINGTON AVE
FARMINGTON, CT 06030-8082
Phone number: 860-679-2000