Individual
JILL M. TOMASELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
999 SUMMER ST, STAMFORD, CT 06905-5546
(203) 359-8326
(203) 328-2696
Mailing address
1234 SUMMER ST, STAMFORD, CT 06905-5558
(203) 359-8326
(203) 328-2696
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3782
CT
Other
Enumeration date
05/23/2006
Last updated
03/29/2013
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