Individual provider · Type 1 NPI

Sara Jean Ruddy, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1376630731 Active

Practice location

80 Seymour Street, Hartford Hospital Emergency Medicine
Hartford, CT 06102-5037

Call (860) 972-0000 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA052698 (PA)
Physician Assistant 363A00000X003327 (CT)
Medical Physician Assistant Primary 363AM0700X003327 (CT)
Surgical Physician Assistant 363AS0400X003327 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1376630731

Sara Jean Ruddy, PA-C's National Provider Identifier is 1376630731, issued on Oct 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Jul 18, 2015.