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Contact Information

TARA BRESLIN, PAC
490 BLUE HILLS AVENUE
MT.SINAI REHABILITATION HOSPITAL/ PHYSICIAN SUITE
HARTFORD, CT06112-3088
 Phone: 860-714-2647
 Fax: 860-714-8519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TARA BRESLIN · (Female)

NPI Number 1710093869
Status Active
Credentials PAC
Entity Individual
Enumeration date 08/22/2006
Last updated 09/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000593
  • CT Other 290000593CT03 BLUE CROSS BLUE SHIELD
  • CT Other 0005930121 CONNECTICARE
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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