Individual
DR. JACKSON P MAILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5440
(475) 210-5022
Mailing address
1290 SILAS DEANE HWY, HHC CVO, WETHERSFIELD, CT 06109-4337
(860) 972-5507
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036274
CT
Other
Enumeration date
09/01/2006
Last updated
01/09/2026
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