ANGELA HART (Credential# 1384689) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ANGELA HART is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055991. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is General Medicine- Outpatient Pavilion, Farmington, CT 06030-0001. The current status is active.
| Licensee Name | ANGELA HART |
| Credential ID | 1384689 |
| Credential Number | 1.055991 |
| Credential Type | Physician/Surgeon |
| Business Address |
General Medicine- Outpatient Pavilion Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-12-05 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1392458 | CSP.0064440 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1232159 | CSP.0057728 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-10 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | GENERAL MEDICINE- OUTPATIENT PAVILION |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul L Mastropolo | 276 Hart St, Bristol, CT 06010-9506 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Ashish Parikh Md | 40 Hart St, New Britain, CT 06052 | Physician/surgeon | 2006-03-03 ~ 2007-02-28 |
| Todd S Albala Md | 40 Hart St, New Britain, CT 06052 | Physician/surgeon | 2006-04-21 ~ 2007-01-31 |
| Lisa A Burch | 119 Hart St, New Britain, CT 06052 | Physician/surgeon | 1994-02-14 ~ 1995-03-31 |
| John A Hart Jr | 205-a Skyview, Friendswood, TX 77546 | Physician/surgeon | 1995-10-20 ~ 1996-11-30 |
| Natalie Albala Md | 40 Hart St, New Britain, CT 06052 | Physician/surgeon | 2006-06-29 ~ 2007-03-31 |
| Donald J Austrian Md | 7 Hart Ct, Oxford, CT 06478-1590 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| William J Waskowitz Md | 40 Hart St, New Britain, CT 06052 | Physician/surgeon | 2006-05-22 ~ 2007-05-31 |
| Andrew D Burch Jr | 119 Hart Street, New Britain, CT 06052 | Physician/surgeon | 1994-04-22 ~ 1995-04-30 |
| John J Brunette | 40 Hart Street, New Britain, CT 06052 | Physician/surgeon | 1992-06-25 ~ 1993-05-31 |
Please comment or provide details below to improve the information on ANGELA HART.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).