Individual
DR. JENNIFER NOELLE MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 HART ST, BUILDING D, NEW BRITAIN, CT 06052-1743
(860) 224-5430
Mailing address
105 S FARMS DR, MANCHESTER, CT 06040-6676
(860) 432-5960
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
045391
CT
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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