Cullen, Amanda J

Cullen, Amanda J is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospital Surgery Dept, Hartford CT 06102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Cullen, Amanda J can be contacted via phone (860) 545-2840.

Contact Information

Primary practice address
80 Seymour Street Hartford Hospital Surgery Dept Hartford CT 06102
Phone: (860) 545-2840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002006 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2006 Connecticut

Profile Details

NPI number 1982885067
LBN Legal business name Cullen, Amanda J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2007
Last updated Mar 4th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982885067 NPPES
Connecticut MEDICAID 003020062

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