Individual
DR. JENNIFER ROSE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2100
(860) 679-4815
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-2100
(860) 679-4815
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
062656
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2012
Last updated
07/11/2022
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