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Individual

JENNIFER HASKELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1000 10TH AVE, DEPARTMENT OF NEUROSURGERY, SUITE 5G-80, NEW YORK, NY 10019-1147
(212) 636-3870
Mailing address
7 GARRY DR, MEDFIELD, MA 02052-3302
(508) 654-6725

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
019722
NY

Other

Enumeration date
06/20/2016
Last updated
06/20/2016
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