Individual
JESSICA LEE ILLUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 688-4101
(203) 688-7274
Mailing address
PO BOX 9805, 300 GEORGE STREET 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
040471
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001404714
—
CT
Enumeration date
01/10/2006
Last updated
07/08/2008
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