Individual
JESSICA G KASLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 528-1359
(860) 290-4142
Mailing address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(860) 528-1359
(860) 290-4142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088077
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236164
—
CT
Enumeration date
09/14/2010
Last updated
08/08/2016
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