Individual
JEROME L HOULE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8209
Mailing address
2 BARNES INDUSTRIAL RD S, WALLINGFORD, CT 06492-2486
(203) 626-0160
(203) 294-6734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1914
CT
363AM0700X
Medical Physician Assistant
1914
CT
363AS0400X
Surgical Physician Assistant
Primary
1914
CT
Other
Enumeration date
07/04/2007
Last updated
05/07/2026
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