Individual
JENNA MARY KRUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
122 WILMOT RD, NEW HAVEN, CT 06515-1007
(203) 503-3000
Mailing address
23 FIELDSTONE DR APT 171, HARTSDALE, NY 10530-1552
(347) 852-1753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6669
CT
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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