Individual
JASON N DACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
85 SEYMOUR ST, SUITE 607, HARTFORD, CT 06106-5501
(860) 549-3210
(860) 247-3803
Mailing address
270 FARMINGTON AVE, SUITE 102, FARMINGTON, CT 06032-1909
(860) 549-8276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001947
CT
363AM0700X
Medical Physician Assistant
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003019478
—
CT
Enumeration date
11/01/2006
Last updated
03/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us