Individual
ZACHARY J. JUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
220 ROUTE 12, GROTON, CT 06340-3414
(860) 446-6137
Mailing address
220 ROUTE 12, GROTON, CT 06340-3414
(860) 446-6137
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003328
CT
363AM0700X
Medical Physician Assistant
MA056193
PA
Other
Enumeration date
07/16/2013
Last updated
10/15/2015
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