Individual
GREGORY JUDE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 HOSPITAL PLAZA, STAMFORD, CT 06902
(203) 276-7022
(203) 276-5560
Mailing address
1 HOSPITAL PLAZA, STAMFORD, CT 06902
(203) 276-7022
(203) 276-5560
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2406
CT
363AS0400X
Surgical Physician Assistant
25MP00187900
NJ
Other
Enumeration date
10/01/2007
Last updated
08/26/2020
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