MICHAEL P SUPRENANT

HARTFORD, CT
NPI1932490596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2011-04-29
Last Update Date2011-04-29
Business Address
-- MICHAEL P SUPRENANT
1000 ASYLUM AVE SUITE 4320
HARTFORD, CT 06105-1770
Phone number: 860-714-5237
Mailing Address
-- MICHAEL P SUPRENANT
1000 ASYLUM AVE SUITE 2109A
HARTFORD, CT 06105-1770
Phone number: 860-714-4658
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