NPI 1972168474 · live from the CMS NPI Registry
Emma Catherine Bacon, PA-C
Physician Assistant, Medical in Hartford, CT. National Provider Identifier 1972168474, active.
NPI record
| NPI | 1972168474 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 80 Seymour St, Hartford, CT 06106 |
| Practice phone | 860-545-5000 |
| Mailing address | 97 Fern St Apt 6, Hartford, CT 06105 |
| Enumerated | May 9, 2019 |
| Last updated | May 13, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.