Individual
JESSICA RESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 SEYMOUR ST STE 919, HARTFORD, CT 06106-5528
(860) 696-5520
(860) 522-3951
Mailing address
85 SEYMOUR ST STE 919, HARTFORD, CT 06106-5528
(860) 696-5520
(860) 522-3951
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
020023
NY
363AS0400X
Surgical Physician Assistant
Primary
5170
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020023
NYS LICENSE
NY
Enumeration date
08/17/2016
Last updated
09/15/2021
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