Janice Eileen Beazley P.A.

NPI 1386771921 - Physician Assistant - 363AM0700X

NPI Details
NPI 1386771921
Gender Female
Enumeration Date 02/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
100 WELLS ST
HARTFORD CT, 06103-2928, US
Phone (860) 249-4466
Fax (860) 249-4469
Business Location
20 CHERRY HILL RD
BROOKLYN CT, 06234-1405, US
Phone (860) 412-0086
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Connecticut
License Number 000389
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According to our database, Ms. Janice Eileen Beazley P.A. NPI is 1386771921, taxonomy code is 363AM0700X and license number is 000389, license state is located at Connecticut. Janice Eileen Beazley P.A. physically located at 100 Wells St, Hartford CT, 06103-2928. NPI Number Janice Eileen Beazley P.A. has the Individual type.

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1386771921 NPI number is provided on an as is basis without warranty of any kind. 1386771921 is maintained by the National Plan & Provider Enumeration System. The contents of Janice Eileen Beazley P.A. are for informational purposes only.