Individual
JENNY TEMNOGOROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
741 BROAD STREET EXT, WATERFORD, CT 06385-1347
(860) 442-5663
(860) 444-7778
Mailing address
741 BROAD STREET EXT, WATERFORD, CT 06385-1347
(860) 442-5663
(860) 444-7778
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD457290
PA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
56502
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2012
Last updated
01/25/2022
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