Healthcare Provider Details

I. General information

NPI: 1245279843
Provider Name (Legal Business Name): CHRISTINE L. HARRINGTON PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 04/15/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

60 HARTLAND ST FL 3
EAST HARTFORD CT
06108-3250
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-9650
  • Fax:
Mailing address:
  • Phone: 860-837-5615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberAMD-277
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: