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Individual

JASMINE M ABBOSH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
836 FARMINGTON AVE, SUITE 207, WEST HARTFORD, CT 06119
(860) 232-9911
(860) 233-5996
Mailing address
836 FARMINGTON AVENUE, SUITE 207, WEST HARTFORD, CT 06119
(860) 232-9911
(860) 233-5996

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
042394
CT
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
042394
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00142394600
CT
01
010042394CT01
BLUE CROSS
01
042394
CONNECTICARE
01
1714336
CIGNA
01
245572
PREFERRED ONE
05
2V5485
CT
01
P3240802
OXFORD
Enumeration date
11/09/2005
Last updated
09/11/2025
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