Provider Demographics
NPI:1548247091
Name:WRIGHT, HAROLD S (PA)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:S
Last Name:WRIGHT
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Gender:M
Credentials:PA
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Mailing Address - Street 1:113 ELM ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3700
Mailing Address - Country:US
Mailing Address - Phone:860-741-3069
Mailing Address - Fax:860-745-3864
Practice Address - Street 1:113 ELM ST
Practice Address - Street 2:SUITE 302
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3700
Practice Address - Country:US
Practice Address - Phone:860-741-3069
Practice Address - Fax:860-745-3864
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2010-05-28
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Provider Licenses
StateLicense IDTaxonomies
CT001662363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1548247090OtherNPI
1548247090OtherNPI