Individual
JIE MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
20 WARNER WAY, CANTON, MA 02021-1865
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
69143
CT
Other
Enumeration date
04/10/2017
Last updated
12/18/2021
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