Michael P Suprenant
Michael P Suprenant is a Physician Assistant in Hartford, Connecticut. Qualified in 2011, 15 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group and accepts Medicare assignment.
- Years since qualifying
- 15
- In the registry since
- 2011
Practice location Address checks out
1000 Asylum Ave Ste 4320Hartford, CT 06105-1770
Phone: (860) 714-5237
Fax: (860) 714-8097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|
Record details
| NPI number | 1932490596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 29, 2011 |
| Last updated in NPPES | April 29, 2011 |
| Mailing address | 1000 Asylum Ave, Suite 2109a, Hartford, CT 06105-1770 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Trinity Health Of New England Provider Network Organization Inc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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