Individual
JEFFREY B AGLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
148 GILLIES RD, HAMDEN, CT 06517-2116
(203) 287-9424
Mailing address
148 GILLIES RD, HAMDEN, CT 06517-2116
(203) 287-9424
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002767
CT
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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