Petagay O'Connor is a Medical in Glastonbury, Connecticut. Petagay O'Connor practices all healthcare services and medical treatments related to Medical. The NPI Number for Petagay O'Connor is 1871769166. The last update date is 2019-02-13.
Petagay O'Connor's current location address is 2928 Main St Ste 101, Glastonbury, Connecticut. You can contact this provider via phone number 8604301246. The mailing address for Petagay O'Connor is 2928 Main St Ste 101, Glastonbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Petagay O'Connor |
|---|---|
| Address | 2928 Main St Ste 101, Glastonbury, Connecticut |
| Phone Number | 8604301246 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1871769166 |
|---|---|
| Provider Enumeration Date | 2008-05-06 |
| Last Updated Date | 2019-02-13 |
Provider Mailing Address Detail
| Address | 2928 Main St Ste 101 |
|---|---|
| City | Glastonbury |
| State | Connecticut (CT) |
| Post Code | 60331007 |
| Phone Number | 8604301246 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3035 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code assigned to Petagay O'Connor by the Centers for Medicare & Medicaid Services?
The Petagay O'Connor has been issued the NPI (National Provider Identifier) 1871769166 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Petagay O'Connor located?
The Petagay O'Connor is located at 2928 Main St Ste 101, Glastonbury, CT 60331007.
What is Petagay O'Connor's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Petagay O'Connor is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Petagay O'Connor receive the assignment of its 1871769166 from the Centers for Medicare & Medicaid Services?
The Petagay O'Connor was issued its 1871769166 by the Centers for Medicare & Medicaid Services on 2008-05-06.
As of what date were the details related to Petagay O'Connor most recently updated or revised?
The information pertaining to Petagay O'Connor, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-13.
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