Samuel Eric Austin, DO
Surgery, Surgical Critical Care in Hartford, CT. Individual provider (NPI-1).
NPI number1083175954
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1083175954
- Entity type
- Individual (NPI-1)
- Name
- Samuel Eric Austin
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2019
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0102X | Surgery, Surgical Critical Care | 076415 | CT | Yes |
| 207P00000X | Emergency Medicine | 076415 | CT |
Practice location
80 Seymour StHartford, CT 06102-8000
Phone 860-972-4189
Mailing address
80 Seymour StHartford, CT 06102-8000
Phone 860-972-4187
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