Individual
MS. DIANE MARIE JELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114 WOODLAND ST, HOFFMAN HEART INSTITUTE, HARTFORD, CT 06105-1208
(860) 714-4038
Mailing address
114 WOODLAND ST, HOFFMAN HEART INSTITUTE, HARTFORD, CT 06105-1208
(860) 714-4038
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
204
CT
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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