Individual provider · Type 1 NPI

Bryan P. Haggerty, PAC

Surgical Physician Assistant · Hartford, CT

NPI number 1669492054 Active

Practice location

114 Woodland St, Surgery Dept.
Hartford, CT 06105-1208

Call (860) 714-4694 Map

Fax (860) 714-8096

Mailing address

1000 Asylum Ave, Suite 2109A
Hartford, CT 06105-1770

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X001779 (CT)
Surgical Physician Assistant Primary 363AS0400X1779

Surgical Physician Assistant: Definition to come...

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About NPI 1669492054

Bryan P. Haggerty, PAC's National Provider Identifier is 1669492054, issued on Jul 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Jun 16, 2021.