Individual
JEFFREY BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000999
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0909993630
CONNECTICARE
CT
01
—
6011039
MVP
CT
01
—
84154
GHI
CT
Enumeration date
08/02/2005
Last updated
06/23/2022
Update your record
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