Individual provider · Type 1 NPI

Phillips Andre Cloutier, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1487320974 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

1290 Silas Deane Highway, Hhc - Cvo
Wethersfield, CT 06109-4337

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X23.005372 (CT)
Physician Assistant 363A00000X23.005372 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1487320974

Phillips Andre Cloutier, PA-C's National Provider Identifier is 1487320974, issued on Aug 17, 2021. 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 9, 2023.