Emma Catherine Bacon, PA-C
Physician Assistant, Medical in Hartford, CT. Individual provider (NPI-1).
NPI number1972168474
StatusActive
Last updated in NPPESMay 13, 2024
Details
- NPI
- 1972168474
- Entity type
- Individual (NPI-1)
- Name
- Emma Catherine Bacon
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2019
- Certification date
- May 13, 2024
- Last updated
- May 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
80 Seymour StHartford, CT 06106-3300
Phone 860-545-5000
Mailing address
97 Fern St Apt 6Hartford, CT 06105-6201
Phone 774-249-3543
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