Individual
HEBA HUSSAM EL-JAFARAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
179 TALCOTTVILLE RD, VERNON ROCKVILLE, CT 06066-4615
(860) 986-7600
Mailing address
118 AMBASSADOR DR UNIT A, MANCHESTER, CT 06042-2456
(860) 729-2365
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4972
CT
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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