Individual
JOSE L YARZEBSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MS, RDN
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2085
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2085
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86092204
MA
363AM0700X
Medical Physician Assistant
Primary
006537
CT
Other
Enumeration date
07/08/2019
Last updated
04/23/2024
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