Individual
MR. JORDAN JAMES GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
20 YORK ST, YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218, NEW HAVEN, CT 06510-3220
(203) 688-2222
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2430
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23.003347
CT
Other
Enumeration date
03/19/2015
Last updated
08/05/2020
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