MICHAEL JOHN PORTAL

MANCHESTER, CT
NPI1265206056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-11-13
Last Update Date2024-07-22
Business Address
MICHAEL JOHN PORTAL
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number: 860-918-5953
Mailing Address
MICHAEL JOHN PORTAL
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number:
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