Individual
MS. JASMIN JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-2701
(203) 785-3820
Mailing address
111 FRESH MEADOW RD, BRANFORD, CT 06405-5908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001238
CT
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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