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Mallory Fossa, PNP-PC
Pediatric Anesthesiology Physician in Hartford, Connecticut
NPI 1780059030

Mallory Fossa is a Pediatric Anesthesiology Physician based in Los Angeles, CT and is specialized in Pediatric Anesthesiology. Mallory Fossa practices in Hartford, CT and has the professional credentials of PNP-PC. The NPI Number for Mallory Fossa is 1780059030 and holds a License No. 95003548 (Connecticut).

The current practice location address for Mallory Fossa is 282 Washington St, Hartford, CT and can be reached out via phone at 860-837-5207.

Location: 282 Washington St, Hartford, CT, 90010-2814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780059030
Provider Name
Mallory Fossa
Credential
PNP-PC
Provider Entity Type
Individual
Gender
Female
Address
282 Washington St, Hartford, CT, 90010-2814
Phone Number
860-837-5207
Fax Number
Provider Enumeration Date
12/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
282 Washington St
City
Hartford
State
Connecticut
Zip
06106-3322
Phone Number
860-837-5207
Fax Number
person
Provider Business Mailing Address Details
Address
282 Washington St
City
Hartford
State
Connecticut
Zip
06106-3322
Phone Number
860-837-5207
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pediatric Anesthesiology
Taxonomy
207LP3000X
License No.
12.008276 (Connecticut)
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95003548 (California)
Definition
Definition to come...
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