Individual provider · Type 1 NPI

Stacey R. Burns, PA

Surgical Physician Assistant · Hartford, CT

NPI number 1245510320 Active

Practice location

114 Woodland St, Surgery
Hartford, CT 06105-1208

Call (860) 714-4694 Map

Fax (860) 714-8096

Mailing address

1000 Asylum Ave, Suite 2109A
Hartford, CT 06105-1770

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X23 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1245510320

Stacey R. Burns, PA's National Provider Identifier is 1245510320, issued on Aug 22, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Feb 16, 2016.