Individual
JASON JONATHON SICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78 COVE ST UNIT 1, NEW HAVEN, CT 06512-4304
(203) 988-7553
(203) 688-1322
Mailing address
78 COVE ST UNIT 1, NEW HAVEN, CT 06512-4304
(203) 988-7553
(203) 688-1322
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
CT
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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