Individual
JASON H ALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002134
CT
363AS0400X
Surgical Physician Assistant
PA 19617
CA
Other
Enumeration date
02/21/2008
Last updated
12/15/2008
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