Individual provider · Type 1 NPI

Joel Matthew Burgos, PA

Medical Physician Assistant · Hartford, CT

NPI number 1750797932 Active

Practice location

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

Call (860) 545-0000 Map

Mailing address

PO Box 415933, Hartford Hospital Professional Services
Boston, MA 02241-5933

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X003120 (CT)
Medical Physician Assistant Primary 363AM0700X003120 (CT)
Surgical Physician Assistant 363AS0400X003120 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1750797932

Joel Matthew Burgos, PA's National Provider Identifier is 1750797932, issued on Jul 8, 2014. 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 8, 2014.