Individual
JESSICA VAZ MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 HAWLEY LN STE 2, TRUMBULL, CT 06611-5387
(203) 375-3456
(203) 380-3803
Mailing address
160 HAWLEY LANE, STE 002, TRUMBULL, CT 06611
(203) 375-3456
(203) 380-3803
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002445
CT
Other
Enumeration date
09/01/2010
Last updated
06/27/2017
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