Individual provider · Type 1 NPI

Mary Theresa Tran

Surgical Physician Assistant · Hartford, CT

NPI number 1376368688 Active

Practice location

80 Seymour St
Hartford, CT 06106-3315

Call (860) 545-5000 Map

Mailing address

25 Birdsey Ave
Middletown, CT 06457-4301

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X6933 (CT)
Physician Assistant 363A00000X6933 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1376368688

Mary Theresa Tran's National Provider Identifier is 1376368688, issued on Nov 21, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Jan 17, 2025.