Individual provider · Type 1 NPI
Nicole Mya Dimasso, PA-C
Surgical Physician Assistant · Hartford, CT
NPI number
1104544352
Active
Practice location
80 Seymour St
Hartford, CT 06102-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 005871 (CT) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in Hartford
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- Tyler Timpone, PA-CSurgical Physician Assistant Hartford, CT NPI 1023687480
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- Brian Morey, PA-CSurgical Physician Assistant Hartford, CT NPI 1033464771
- Sydney M. Urch, PA-CSurgical Physician Assistant Hartford, CT NPI 1033988696
About NPI 1104544352
Nicole Mya Dimasso, PA-C's National Provider Identifier is 1104544352, issued on Aug 15, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Nov 15, 2022.