Individual
MISS JACQUELINE P TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-6143
Mailing address
32 DRIFTWAY POINT RD, DANBURY, CT 06811-4244
(631) 871-2986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001658
CT
Other
Enumeration date
01/23/2007
Last updated
07/19/2013
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