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Contact Information

CANDACE TREADWAY, PA
14 JONES HOLLOW ROAD
MARLBOROUGH, CT06447
 Phone: 860-295-8217
 Fax: 860-295-9734
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CANDACE TREADWAY · (Female)

NPI # 1891730107
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/19/2006
Last updated 02/22/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 002028
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
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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