Individual
JESSICA ROSE DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGNP
Contact information
Practice address
2 OLD NEW MILFORD RD STE 3D, BROOKFIELD, CT 06804-2426
(203) 885-0910
Mailing address
53 ELBOW HILL RD, BROOKFIELD, CT 06804-1905
(203) 947-6986
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
10496
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10496
CT DEP OF HEALTH
CT
Enumeration date
04/01/2022
Last updated
04/01/2022
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