Most Relevant Information
Provider Data
| NPI Number: | 1003399346 |
| Provider Name: | MATTHEW BAXTER PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2018 |
| Last Updated: | 09/12/2018 |
Provider Practice Location
80 SEYMOUR ST
HARTFORD
CT
061028000
Practice Location Phone/Fax
| Phone: | 8605455000 |
| Fax: |
Provider Mailing Location
80 SEYMOUR ST
HARTFORD
CT
061028000
Provider Mailing Phone/Fax
| Phone: | 8605455000 |
| Fax: |