Organization
JOSCO MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE ORTIZ-SKENDERIDIS (OWNER)
(860) 337-9800
Entity
Organization
Contact information
Practice address
12 N MAIN ST STE 110, WEST HARTFORD, CT 06107-1932
(860) 337-9800
(860) 263-7329
Mailing address
12 NORTH MAIN STREET, SUITE 110, WEST HARTFORD, CT 06107-1932
(608) 337-9800
(860) 263-7329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
08/18/2021
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