Individual provider · Type 1 NPI

Ly C. Tran, PA-C

Surgical Physician Assistant · Bloomfield, CT

NPI number 1295797678 Active

Practice location

6 Northwestern Dr, Suite # 305
Bloomfield, CT 06002-3463

Call (860) 242-8591 Map

Fax (860) 242-2511

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X001396 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1295797678

Ly C. Tran, PA-C's National Provider Identifier is 1295797678, issued on Apr 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bloomfield, CT. The record was last updated on Jun 29, 2021.