Individual provider · Type 1 NPI

Bethany Rose Greenlaw

Medical Physician Assistant · Hartford, CT

NPI number 1457047888 Active

Practice location

80 Seymour St
Hartford, CT 06106-3300

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	None listed
Medical Physician Assistant Primary	363AM0700X	6153 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1457047888

Bethany Rose Greenlaw's National Provider Identifier is 1457047888, issued on Apr 18, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Aug 14, 2023.