Individual
DR. JASON MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 LIBERTY SQ, NEW BRITAIN, CT 06051-2637
(860) 827-0071
(860) 229-5642
Mailing address
1 LIBERTY SQ, P.O. BOX 217, NEW BRITAIN, CT 06051-2637
(860) 827-0071
(860) 229-5642
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
49644
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073711776
—
CT
Enumeration date
07/05/2007
Last updated
08/10/2016
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