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Search › Connecticut › 225200000X

Todd Provost, PTA

NPI 1134311962 · on the registry since 2007

Practice

Address
673 Cottage Grove Rd
Bloomfield, CT 06002
Phone
(860) 286-1043
Fax
(860) 286-2836
Organisation at this address
Radiology Associates Of Hartford Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut