Individual
DR. JULIET ALEXANDRA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-6000
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108
(203) 929-7353
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
267424-1
NY
207L00000X
Anesthesiology Physician
Primary
52906
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2009
Last updated
06/22/2020
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