Individual
JACQUELINE ROSE CALLINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 696-6010
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7334
CT
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
7334
CT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/02/2025
Last updated
07/29/2026
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