Individual
JESSICA KAUSHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
267 GRANT STREET, MEDICAL EDUCATION PODIUM 4, BRIDGEPORT, CT, 06610, USA, BRIDGEPORT, CT 06610
(203) 384-3000
(203) 384-4680
Mailing address
267 GRANT STREET, MEDICAL EDUCATION PODIUM 4, BRIDGEPORT, CT, 06610, USA, BRIDGEPORT, CT 06610
(203) 384-3000
(203) 384-4680
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2022
Last updated
02/20/2023
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