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Individual

JEFFREY BOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
100 GRAND STREET, PHYSICIAN RELATIONS, NEW BRITAIN, CT 06050
(860) 224-5011
Mailing address
100 GRAND STREET, PHYSICIANS RELATIONS, NEW BRITAIN, CT 06050
(860) 244-5011

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
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