Individual
JACQUELINE SANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 BREWSTER ROAD, BRISTOL, CT 06010-5142
(860) 585-3000
(860) 585-3907
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
(860) 585-3906
(860) 585-3907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001836
CT
Other
Enumeration date
03/23/2007
Last updated
09/07/2007
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