Individual
JASON SIMONIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
Mailing address
235 FIELD ST, NEWINGTON, CT 06111-5408
(860) 899-7897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031862
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/29/2022
Last updated
09/04/2024
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