Individual
DENISSE BURGOS-JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706
(860) 989-6067
Mailing address
841 NEW BRITAIN AVE, HARTFORD, CT 06106-3920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3767
CT
363AM0700X
Medical Physician Assistant
Primary
3767
CT
Other
Enumeration date
02/07/2017
Last updated
11/11/2021
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