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Search › Connecticut › 363AM0700X

Jason Ptak, PA-C

NPI 1437566338 · on the registry since 2014

Practice

Address
500 Albany Ave
Hartford, CT 06120
Phone
(860) 249-9625
Organisation at this address
Walgreen Co
Avon Medical Pharmacy
Community Health Services
Avon Medical Pharmacy Inc
Community Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
363AM0700X
Licence states on file
ID, CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-13

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