Individual
JORDAN MARCOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5520 PARK AVE, TRUMBULL, CT 06611
(203) 373-7330
Mailing address
52 BEACH RD STE 104, FAIRFIELD, CT 06824-6692
(203) 254-3570
(203) 255-3126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4008
CT
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/06/2017
Last updated
07/01/2020
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